Created at 7:11 p.m. Jan, 05, 2026
Author: fahminator
Related Note: 1557251726524 2
Rationale for change

(I am resubmitting someone else's suggestion that has been sitting in open since June of 2025)

Consider clarifying that diagnostic paracentesis has already been performed or is not the immediate next step. In clinical practice and exam settings, new-onset ascites in a cirrhotic patient always warrants diagnostic paracentesis first to rule out spontaneous bacterial peritonitis (SBP). The question might be interpreted as asking for the initial workup step rather than a longitudinal management/surveillance step like HCC or portal vein screening.

A clarifying phrase such as ‘after initial workup including paracentesis’ or ‘in a patient with stable cirrhosis and ascites already evaluated’ would help reduce confusion.

Not too deep, but ive missed this card after weeks multiple times because I say paracentesis and I think it is testing a different concept
Source: Society Guidelines - https://pmc.ncbi.nlm.nih.gov/articles/PMC7788190/

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#AK_Step2_v12::#OME::01_Medicine::03_Gastroenterology::13_Cirrhosis_Complications #AK_Other::Only_Step_2 #AK_Step2_v12::#OME::Clinical::01_Medicine::03_Gastroenterology::12_Cirrhosis #AK_Other::AnKing_Image::!Subjects::Gastroenterology::Cirrhosis #AK_Step2_v12::#UWorld::COMLEX::103209 #PANCE::GI::hepatic_disorders #AK_Step2_v12::#OME::01_Medicine::03_Gastroenterology::12_Cirrhosis #AK_Step2_v12::#Subjects::Gastroenterology::09_Liver::Cirrhosis #AK_Step2_v12::#UWorld::COMLEX::103211 #PANCE::EOR::Family_med #AK_Step2_v12::Original_decks::Dorian::im::ome::gi::cirrhosis+complications #AK_Step2_v12::#SketchyIM::11_Hepatobiliary::03_Cirrhosis::01_Cirrhosis_SOA #AK_Step2_v12::#B&B::06_GI::02_Liver::03_Cirrhosis #AK_Other::AnKing_Image::Mujeeb::Ascites #AK_Step2_v12::#Subjects::Gastroenterology::09_Liver::Cirrhosis::Management #AK_Other::#AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::!Shelf::IM::no_dupes::only_step2 #AK_Step2_v12::#UWorld::Step::16078 #AK_Step2_v12::#SketchyIM::11_Hepatobiliary::04_Benign_&_Malignant_Liver_Lesions::02_Hepatocellular_Carcinoma #AK_Step1_v12::#Bootcamp::Gastroenterology::05_Liver::21_Spontaneous_Bacterial_Peritonitis_Peritoneal_Carcinomatosis_and_SAAG #AK_Step2_v12::#SketchyIM::11_Hepatobiliary::03_Cirrhosis::02_Cirrhosis_Complications_&_Management #AK_Step2_v12::#Resources_by_rotation::IM::ome::gi::cirrhosis+complications #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::6im #AK_Other::AnKing_Image::AhmedA::Cirrhosis #AK_Step2_v12::#SketchySurgery::03_Hepatobiliary_Disorders::03_Liver::03_Hepatocellular_Carcinoma #PANCE::EOR::EM #AK_Step2_v12::#SketchyIM::11_Hepatobiliary::01_General_Approach::02_Ascites_DDx #AK_Other::AnKing_Image::!Subjects::Gastroenterology::Ascites #AK_Step2_v12::#UWorld::Step::16076