Exam questionKROK 2Medicine ยท 2019
2 hours after a traffic accident a 28-year-old man in a grave condition was brought to a hospital. The patient complains of abdominal pain. He received a blow to the abdomen with the steering wheel. Objective examination revealed the following: the abdomen does not participate in respiration, is tense and acutely painful on palpation: the abdominal muscles are defensively tense, peritoneal irritation signs are positive, hepatic dullness is absent. BP is 90/60 mm Hg, heart rate is 120/min. What further treatment tactics should be chosen?
Answer options
- Cold to the abdomen
- Laparotomy
- Laparocentesis
- Ultrasound investigation
- Laparoscopy
Correct answer
Laparotomy
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