Question

A 68-year-old woman with suspected spontaneous bacterial peritonitis (SBP) presents with cirrhosis, ascites, and abdominal pain. Paracentesis reveals a polymorphonuclear (PMN) count of 320 cells/mm³. What is the next step in management?

Accepted Answer

Start third-generation cephalosporin

Answer

Observe only

Answer

Start vancomycin

Answer

Diuretics only

Answer

Immediate TIPS

Practice question

A 68-year-old woman with suspected spontaneous bacterial peritonitis (SBP) presents with cirrhosis, ascites, and abdominal pain. Paracentesis reveals a polymorphonuclear (PMN) count of 320 cells/mm³. What is the next step in management?