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Exam questionKROK 2Medicine · 2014

As a result of a road accident a 45-year-old male patient got multiple injuries, namely closed fractures of the right humerus and the left antebrachial bones with a displacement of bone fragments, a closed blunt abdominal injury. The patient was delivered to the emergency department 30 minutes after the injury. Objectively: the skin is pale. AP 90/20 mm Hg, there is pain and deformation at the fracture sites. Abdomen is tense, palpation causes severe pain, there is rebound tenderness (positive Blumberg’s sign). What is the treatment tactics of choice?

Answer options

  1. Additional tests to specify the diagnosis
  2. Fracture immobilization, analgesia
  3. Urgent diagostic laparotomy
  4. Infusion therapy to stabilize blood pressure
  5. Local anesthetic blockade of fractures
Correct answer

Urgent diagostic laparotomy

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