Hepatitis C–related Cirrhosis Reports in Medicine / Internal Medicine — 58yo Man | Hepatology | SMLE Q#7681
SMLE Question #7681
Medicine / Internal Medicine
Hepatology
Objective: OBJ-HEP-01
Last updated: February 2026
A 58-year-old man with hepatitis C–related cirrhosis reports progressive abdominal distension. Over 3 months, he has needed repeated large-volume paracenteses, and ascites recurs despite adherence to spironolactone and furosemide. He has no prior hepatic encephalopathy and no fever, abdominal pain, gastrointestinal bleeding, or confusion. Examination shows ascites with shifting dullness and bilateral pitting oedema. Which dietary recommendation is most appropriate to help control his ascites?
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