Approach to trauma (pediatrics) Quiz: Ace Your Exams
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A 9-year-old boy is transported to the emergency department by ambulance after falling off a bicycle and striking his abdomen against the handlebars. On arrival, the child is alert and oriented but appears mildly anxious. There is a history of mild eczema and an uncomplicated appendectomy at age 6. No medications are taken, and there are no known drug allergies. Temperature is 36.8°C (98.2°F), heart rate is 122/min, respiratory rate is 24/min, blood pressure is 102/66 mmHg, and oxygen saturation is 98% on room air. Primary survey reveals an intact airway, clear breath sounds bilaterally, and no external bleeding. During the secondary survey, the child reports increasing abdominal pain. Examination shows mild abdominal distention and tenderness to palpation in the right upper quadrant, without rebound or guarding. Capillary refill is 2 seconds. Which of the following is the best next step in the evaluation of this patient?
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