Approach to upper abdominal pain 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 72-year-old man presents to the emergency department for evaluation of three days of worsening upper abdominal pain and associated vomiting. The patient drinks alcohol daily and has a past medical history of diabetes, hypertension, and gastric ulcers. Temperature is 36°C (96.8°F), blood pressure is 96/66 mmHg, pulse is 112/min, respiratory rate is 22/min, and oxygen saturation is 94% on room air. The patient is lying on his left side in the stretcher and appears uncomfortable. Physical examination reveals diffuse tenderness to palpation that is more prominent in the epigastrium and is associated with rebound and guarding. The patient is started on intravenous fluids and his blood pressure improves. He is started on IV pantoprazole, morphine, and empiric antibiotics. A surgery consultation is called. Which of the following is the best next step in management?
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