welcome redditors!to snoo-finity ... and beyond!

NBME 20 Answers

nbme20/Block 3/Question#37

A 62-year-old man with alcohol-induced liver ...


Login to comment/vote.

 +1  upvote downvote
submitted by hayayah(505),

Clinical use of K-sparing diuretics:

  • Hyperaldosteronism
  • K+ depletion
  • HF
  • hepatic ascites (spironolactone)
  • nephrogenic DI (amiloride)
  • antiandrogen
redvelvet  Patients with hepatic ascites have hyperaldosteronism; because the intravascular volume is escaped to third space(ascites). So adding spironolactone is a good choice. +1  
champagnesupernova3  Always combine a K+ losing diuretic with a K+ sparing diuretic +3  

 +1  upvote downvote
submitted by sweetmed(57),

A rapid reduction of ascites is often accomplished simply with the addition of low-dose oral diuretics in the outpatient setting. First-line diuretic therapy for cirrhotic ascites is the combined use of spironolactone (Aldactone) and furosemide (Lasix) - Clevland Clinic