Medicine

Patient came to your clinic today he mentioned he had a recent and complaining of mild abdominal pain after…

Patient came to your clinic today he mentioned he had a recent and complaining of mild abdominal pain after accident. O/E: Vitally stable. Mild abdominal pain mainly in the right upper quadrant. No other complaints or findings. Vitals were all listed, all were normal BP: 110/70 SURE RR: I think 18 temp: 36.6 ? What is the most appropriate next step?

  1. A Abdominal ultrasound الإجابة الصحيحة
  2. B Refer him to emergency department for further evaluation
  3. C Do blood work to rule out hemorrhage
  4. D didn't recall

الشرح

Core Concept: Evaluation of blunt abdominal trauma in a hemodynamically stable patient.

Clinical Presentation:

  • Mild right upper quadrant abdominal pain following a recent accident, with completely normal and stable vital signs.

Diagnosis:

  • First-line: Focused Assessment with Sonography for Trauma (FAST) or comprehensive Abdominal Ultrasound to evaluate for solid organ injury (e.g., liver laceration, subcapsular hematoma) or free fluid.

Management:

  • Acute management: Since the patient is vitally stable and has localized RUQ pain (suggesting possible liver or biliary injury), an abdominal ultrasound is the most appropriate, non-invasive next step to rule out occult intra-abdominal bleeding or organ damage before considering discharge or further imaging like a CT scan.

40 سؤالاً مجاناً مع حساب

الأسئلة المنشورة هنا عيّنة ثابتة. أنشئ حساباً مجانياً لتتدرب على بنك الأسئلة الكامل، مع تحليل أدائك حسب التخصص وصفحة لمراجعة أخطائك.

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