A 64-year-old man with cirrhosis due to hepatitis C presents with increasing abdominal distension and ankle oedema. Examination shows shifting dullnes...

Question

A 64-year-old man with cirrhosis due to hepatitis C presents with increasing abdominal distension and ankle oedema. Examination shows shifting dullness consistent with ascites. What is the recommended first-line pharmacological regimen for uncomplicated cirrhotic ascites?

Accepted Answer

Spironolactone plus frusemide in a ratio of approximately 100 mg:40 mg daily

Answer

Frusemide alone

Answer

Spironolactone alone

Answer

Thiazide diuretic alone

Answer

High-dose loop diuretic plus fluid restriction only

au-racp MCQ (SBA): Cirrhotic ascites

A 64-year-old man with cirrhosis due to hepatitis C presents with increasing abdominal distension and ankle oedema. Examination shows shifting dullness consistent with ascites. What is the recommended first-line pharmacological regimen for uncomplicated cirrhotic ascites?