4 Days Of Fever in Medicine / Internal Medicine — 60yo Man | Gastroenterology | SMLE Q#17089
SMLE Question #17089
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 60-year-old man with alcoholic cirrhosis presents with 4 days of fever, increasing abdominal distention, vague abdominal pain, and poor sleep. He is drowsy and disoriented to time. Examination shows jaundice, moderate ascites, and asterixis. Diagnostic paracentesis is performed. What is the most appropriate immediate management?
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