Question of the Week: For 2 weeks, a 62-year-old male with - TopicsExpress

Question of the Week: For 2 weeks, a 62-year-old male with biopsy-documented cirrhosis and ascites has had diffuse abdominal discomfort, fever, and night sweats. His current medications are furosemide (Lasix) and spironolactone (Aldactone). On examination his temperature is 38.0°C (100.4°F), his blood pressure is 100/60 mm Hg, and his heart rate is 92 beats/min and regular. Examination of the heart and lungs is normal. The abdomen is soft with vague tenderness in all quadrants. There is no rebound or guarding. The presence of ascites is easily verified. Bowel sounds are quiet. The rectal examination is normal, and the stool is negative for occult blood. You perform diagnostic paracentesis and send a sample of the fluid for analysis. Which one of the following findings would best support the suspected diagnosis of spontaneous bacterial peritonitis? A - pH 250/mL D - Positive cytology E - Total protein >1 g/dL

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