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Surgery General cd2cf111

A man comes to emergency with stab injury to left flank. He has stable vitals. What would be the next step in management.

A
CECT
B
Diagnostic peritoneal lavage
C
Laprotomy
D
Laproscopy
High-Yield Explanation
According to EAST Guidelines “Current recommendations for nonoperative management of penetrating trauma include use of Triple Contrast CT (IV, oral and rectal) and serial examinations.” • Gunshot Abdominal Wounds: −− Chances of internal injury is very high in gunshot wounds, thus little pre-operative evaluation is required and laparotomy is mandatory. • Stab Wounds to Abdomen: −− Exploratory laparotomy is indicated in patients with isolated penetrating abdominal wound if hypotensive or in shock or showing peritoneal signs.

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