MedBugs: SAQ #583

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Case: Cirrhosis with Fever and Ascites

A 55-year-old man with known alcoholic liver cirrhosis presents with fever, abdominal pain and worsening ascites. His abdomen is distended with shifting dullness and there is tenderness without guarding. You suspect spontaneous bacterial peritonitis.

1. List (4) common causative organisms of SBP. 4 marks

2. State your treatment including drug dose and route. 2 marks

3. Complete the following table listing (3) complications specific to therapeutic paracentesis and one treatment or strategy to reduce or mitigate the risk. 6 marks

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Case: Cirrhosis with Fever and Ascites

1. List (4) common causative organisms of SBP. 4 marks

2. State your treatment including drug dose and route. 2 marks

3. Complete the following table listing (3) complications specific to therapeutic paracentesis and one treatment or strategy to reduce or mitigate the risk. 6 marks

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