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Subjects/Surgery/Trauma
Trauma
medium
scissors Surgery

A 25-year-old male is brought to the ER after a road traffic accident with hypotension (BP 80/60), tachycardia (HR 130), distended abdomen, and positive FAST scan. What is the immediate management?

A. Exploratory laparotomy
B. CT scan of abdomen
C. Diagnostic peritoneal lavage
D. Conservative management with blood transfusion

Explanation

In a hemodynamically unstable patient with a positive FAST showing free fluid, the immediate management is exploratory laparotomy. There is no role for CT scan in an unstable patient.

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