A 62-year-old man with known chronic liver disease presents with increasing abdominal distension. Ultrasound confirms ascites without focal lesions. W...

Question

A 62-year-old man with known chronic liver disease presents with increasing abdominal distension. Ultrasound confirms ascites without focal lesions. What is the MOST appropriate initial diuretic regimen?

Accepted Answer

Combination of spironolactone and frusemide, titrated to response

Answer

Spironolactone alone

Answer

Frusemide alone

Answer

Thiazide diuretic alone

Answer

No diuretics; paracentesis only

au-racp MCQ (SBA): Cirrhotic ascites

A 62-year-old man with known chronic liver disease presents with increasing abdominal distension. Ultrasound confirms ascites without focal lesions. What is the MOST appropriate initial diuretic regimen?