Acute mesenteric ischemia Quiz: Ace Your Exams
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A 67-year-old woman presents to the emergency department with sudden-onset, severe periumbilical abdominal pain that began 5 hours ago and has remained in that location. The patient reports a 7-month history of postprandial abdominal pain refractory to antacids, and a 10-pound unintentional weight loss. She has a history of peripheral artery disease, hypertension, and hyperlipidemia. She also has a 40-pack-year smoking history. On examination, her abdomen is soft, non-distended, and mildly tender to palpation. Temperature is 37.3°C (99.1°F), blood pressure is 144/88 mmHg, pulse is 88/min, respiratory rate is 20/min, and oxygen saturation is 98% on room air. Laboratory findings are significant for leukocytosis, and a lactate of 3.1 mmol/L. Which of the following is the best next step in the evaluation?
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