Get Answer: Year Female Presents Question Guide

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Original Question

A 40-year-old female presents to the emergency department by EMS with a gunshot wound to the abdomen. The patient is a law enforcement officer who was shot with a handgun during a traffic stop. She denies other injuries. Vital signs include temperature of 98.6°F, pulse of 92 beats/min, respiratory rate of 16 breaths/min, blood pressure of 145/95 mmg and oxygen saturation of 100% on 2L oxygen by nasal cannula. On physical examination, the patient appears anxious but is able to answer questions. Bilateral breath sounds are present and cardiac auscultation reveals normal heart sounds with a regular rate and rhythm and no murmurs. Peripheral pulses are palpable. Warm intravenous fluids are administered. The patient is completely exposed and covered with warm blankets. Penetrating wounds are noted to the right upper quadrant of the abdomen and the right flank. The abdomen is soft and nondistended, but mild diffuse tenderness is present. Which of the following is the next best step in management? Computed tomography scan of the abdomen and pelvis (B) Exploration in the emergency department (C) Exploratory laparotomy Focused Assessment with Sonography for (D) Trauma (FAST) exam. (E) Serial abdominal exams

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