2. An 18 years old man is brought to the emergency department 45 minutes after his car slid off an icy road into a telephone pole at 35 miles per hour. He was the restrained driver and his air bag inflated. Exam shows multiple contusions over the chest bilaterally; there is tenderness to palpation over the right lower chest wall. The abdomen is soft, flat, and non tender. A CBC and serum concentrations of electrolytes, blood urea, and creatinine are within the reference range. Toxicology was negative. His urine was pink; urinalysis shows 80 RBC/hpf with no WBCs. Which of the following is the most appropriate next step in management? A. CT scan abdomen and pelvis with contrast B. Magnetic Resonance arteriography of renal arteries C. IV antibiotics D. Exploratory laporotomy E. No further investigations are indicated Answer:A
Posted on: Thu, 28 Nov 2013 15:32:16 +0000
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