Femoral hernias Quiz: Ace Your Exams

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A 68-year-old woman presents to the emergency department with severe right groin pain that began suddenly four hours ago and has progressively been worsening. The patient feels nauseous and has vomited twice. On physical examination, the patient’s abdomen is tender, and a non-reducible, tender, erythematous mass is palpated in the right groin area, inferior to the inguinal ligament. Temperature is 38.3°C (100.9°F), pulse is 120/min, blood pressure is 93/55 mmHg, respiratory rate is 24/min, and oxygen saturation is 94% on room air. The patient is started on IV fluids and broad-spectrum antibiotics. Laboratory evaluation is significant for leukocytosis and an elevated lactate level. Which of the following is the most appropriate next step in management?  

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