Question

A 50-year-old man with known liver cirrhosis presents with increasing abdominal distension and discomfort. Ultrasound confirms tense ascites without peritonitis. What is the most appropriate initial management?

Accepted Answer

Large-volume paracentesis with albumin infusion

Answer

High-dose loop diuretics alone

Answer

Immediate TIPS procedure

Answer

No treatment is required

Answer

Start antibiotics for spontaneous bacterial peritonitis

Practice question

A 50-year-old man with known liver cirrhosis presents with increasing abdominal distension and discomfort. Ultrasound confirms tense ascites without peritonitis. What is the most appropriate initial management?