3rd April 2024

A 65 year old male presents with persisting lower limb swelling.

A 65 year old male presents with persisting lower limb swelling. His regular medications include furosemide 40mg once daily, which was started two years ago after being discharged from the hospital with an acute episode of heart failure. On examination, he appears well with no but has a distended abdomen and has pitting oedema to the mid-shins. What is the most appropriate next step in management for his oedema?

Select the SINGLE most appropriate option from the list below. Select ONE option only.