A 62-year-old man with alcohol-related cirrhosis has new abdominal distention. Ultrasound shows moderate ascites and no portal vein thrombosis. He is

Question

A 62-year-old man with alcohol-related cirrhosis has new abdominal distention. Ultrasound shows moderate ascites and no portal vein thrombosis. He is afebrile and has no abdominal pain. Creatinine is 0.9 mg/dL. Which of the following is the most appropriate next step in management?

Accepted Answer

Perform diagnostic paracentesis

Answer

Give thrombolysis

Answer

Start diuretics without fluid analysis

Answer

Schedule emergent colectomy

Answer

Order barium swallow

Ascites in cirrhosis — USMLE Step 3 MCQ

A 62-year-old man with alcohol-related cirrhosis has new abdominal distention. Ultrasound shows moderate ascites and no portal vein thrombosis. He is afebrile and has no abdominal pain. Creatinine is 0.9 mg/dL. Which of the following is the most appropriate next step in management?