Approach to blunt and penetrating abdominal injury Quiz: Ace Your Exams
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A 26-year-old man is brought to the emergency department by ambulance for evaluation of a penetrating wound to the lower abdomen. The patient was stabbed by an assailant using a pocketknife. The patient has no significant past medical history and does not take any medication. He has lower abdominal pain. Temperature is 37°C (98.6°F), pulse is 98/min, respirations are 18/min, blood pressure is 126/74 mmHg, and oxygen saturation is 99% on room air. On arrival, the patient can state his name and has normal breathing sounds bilaterally. The patient’s extremities feel warm. Glasgow coma scale (GCS) is 15. Secondary survey reveals a 1 cm penetrating, open wound on the left lateral side of the umbilicus. Extended focused assessment with sonography in trauma (eFAST) and X-ray of the chest and abdomen are unremarkable. Which of the following is the best next step in management?
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