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Chronic Liver Disease And Cirrhosis Care Practice Test
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Q1
A 55-year-old man with decompensated cirrhosis presents with progressive abdominal distension and dyspnea when supine. He has a history of heavy alcohol use and prior episodes of ascites. He denies fever or abdominal pain. Exam shows tense ascites and mild confusion without focal deficits. Vitals: BP 108/66 mm Hg. Labs: albumin 2.5 g/dL, INR 1.8, creatinine 1.2 mg/dL. Ultrasound confirms large-volume ascites. A therapeutic paracentesis is planned with removal of 7 L. What is the next best step in management for this patient?
A 55-year-old man with decompensated cirrhosis presents with progressive abdominal distension and dyspnea when supine. He has a history of heavy alcohol use and prior episodes of ascites. He denies fever or abdominal pain. Exam shows tense ascites and mild confusion without focal deficits. Vitals: BP 108/66 mm Hg. Labs: albumin 2.5 g/dL, INR 1.8, creatinine 1.2 mg/dL. Ultrasound confirms large-volume ascites. A therapeutic paracentesis is planned with removal of 7 L. What is the next best step in management for this patient?