Chronic mesenteric ischemia Quiz: Ace Your Exams
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A 68-year-old man with a history of coronary artery disease and peripheral vascular disease presents to the emergency department with severe abdominal pain. He describes crampy abdominal pain after meals for the past 6 months. This has been accompanied by decreased appetite and a 15 lb weight loss. However, his pain today is much more severe. Temperature is 37.1 °C (98.8 °F), blood pressure is 70/38 mmHg, pulse is 128/min, respiratory rate is 22/min, and oxygen saturation is 96% on room air. On examination, he is in significant distress. His abdomen is mildly distended, with diffuse tenderness to palpation and guarding. Which of the following is the next best step in management for this patient?
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