A 65-year-old man with HCV cirrhosis has increasing abdominal distension x 2 weeks. Paracentesis: SAAG 18 g/L, protein 10 g/L, PMN 80/mm3. Most

Question

A 65-year-old man with HCV cirrhosis has increasing abdominal distension x 2 weeks. Paracentesis: SAAG 18 g/L, protein 10 g/L, PMN 80/mm3. Most appropriate management?

Accepted Answer

Sodium restriction and spironolactone

Answer

Peritoneovenous shunt

Answer

Large-volume paracentesis with albumin

Answer

TIPS

Answer

IV albumin and ceftriaxone

Ascites in cirrhosis — MCCQE Part 1 MCQ

A 65-year-old man with HCV cirrhosis has increasing abdominal distension x 2 weeks. Paracentesis: SAAG 18 g/L, protein 10 g/L, PMN 80/mm3. Most appropriate management?