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MediumGastroenterologyManagement of Ascites in Cirrhosisukmlamrcp part 1paneprescribing safety assessment

A 42-year-old man with known alcohol-related liver disease presents with increasing abdominal distension, weight gain, and ankle swelling over the past 2 weeks. On examination, he has shifting dullness and a positive fluid thrill. His serum albumin is 28 g/L (normal 35-50) and INR is 1.5. He is not currently encephalopathic or bleeding. What is the most appropriate initial diuretic regimen for managing his ascites?

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