A 57-year-old man with alcohol-related cirrhosis has new moderate ascites. Diagnostic paracentesis shows no spontaneous bacterial peritonitis.

Question

A 57-year-old man with alcohol-related cirrhosis has new moderate ascites. Diagnostic paracentesis shows no spontaneous bacterial peritonitis. Creatinine is normal and sodium is 136 mEq/L. Which of the following is the most appropriate next step in management?

Accepted Answer

Start sodium restriction plus spironolactone and furosemide

Answer

Prescribe high-sodium oral rehydration

Answer

Use albumin infusions as sole chronic therapy

Answer

Start beta-lactam prophylaxis without prior SBP

Answer

Schedule splenectomy

Cirrhosis ascites — USMLE Step 3 MCQ

A 57-year-old man with alcohol-related cirrhosis has new moderate ascites. Diagnostic paracentesis shows no spontaneous bacterial peritonitis. Creatinine is normal and sodium is 136 mEq/L. Which of the following is the most appropriate next step in management?