Acute mesenteric ischemia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 68-year-old man presents to the emergency department with sudden-onset, severe abdominal pain that began 4 hours ago. He has a history of hypertension and hyperlipidemia. On examination, his abdomen is soft, and minimally distended, with mild tenderness to palpation. Temperature is 36.9°C (98.4°F), blood pressure is 98/65 mmHg, pulse is 115/min and irregular, respiratory rate is 20/min, and oxygen saturation is 98% on room air. Laboratory findings are significant for leukocytosis and a lactate of 3.2 mmol/L. ECG is significant for atrial fibrillation with rapid ventricular response. CT angiography of the abdomen and pelvis shows an occlusion of the superior mesenteric artery by an oval-shaped thrombus. IV fluids and broad-spectrum antibiotics are initiated. Which of the following is the best next step in management of this patient?  

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