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A 53-year-old male with a history of coronary artery disease presents to the emergency department (ED) with abdominal pain and bruising after a fall onto his abdomen 2 h ago. He does take low-dose aspirin. Initial vital signs included a blood pressure of 129/67 mm Hg and pulse rate of 73 bpm, with normal respirations and temperature. Abdominal examination revealed ecchymosis and swelling of the right lateral abdomen with tenderness to palpation but normal bowel sounds. Repeat blood pressure was 92/47 mm Hg.
What must you consider in this patient?
What is the appropriate diagnostic plan for this patient?
What is the best treatment option for this patient?
What is the anatomy related to this condition?
What are some signs and symptoms related to this condition?
What are the predisposing factors for this condition?
Given the patient's abdominal pain, swelling and hypotension in the setting of blunt trauma, the clinician should be concerned about acute blood loss. Injuries to the liver, spleen, or vasculature such as the abdominal aorta …
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