Abdominal aortic aneurysm Quiz: Ace Your Exams

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A 65-year-old man presents to the emergency department following an episode of syncope. The patient’s wife states that the patient stood up, complained of severe abdominal pain, and suddenly passed out. The patient has a 30-pack-year smoking history and has not had a healthcare visit in over 10 years. Temperature is 37°C (98.6°F), blood pressure is 76/56, pulse is 134/min, respiratory rate is 22/min, and oxygen saturation is 97% on room air. The patient appears ill with clammy and cool extremities. Abdominal examination reveals a pulsatile mass and a diffusely tender abdomen. A CT of the abdomen and pelvis reveals large AAA with contrast extravasation indicating rupture, as shown below. IV fluids are started. Which of the following is the best next step in management?


Reproduced from Researchgate.net 

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