Progressive Abdominal Distension Over in Medicine / Internal Medicine — 48yo Woman | Gastroenterology | SMLE Q#18594

SMLE Question #18594

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-ASCITES-ETIO-001

Last updated: February 2026
A 48-year-old woman presents to a clinic with progressive abdominal distension over several weeks. She denies fever, night sweats, weight loss, or jaundice. She was treated for pulmonary tuberculosis 10 years ago and completed therapy. Examination shows ascites on abdominal examination. Diagnostic paracentesis is performed. What is the most likely cause of her ascites?

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