question archive 63-year-old female presents to the ER with nausea, vomiting, inability to tolerate PO, abdominal distension, and crampy intermittent abdominal pain for the past 24 hours

63-year-old female presents to the ER with nausea, vomiting, inability to tolerate PO, abdominal distension, and crampy intermittent abdominal pain for the past 24 hours

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63-year-old female presents to the ER with nausea, vomiting, inability to tolerate PO, abdominal distension, and crampy intermittent abdominal pain for the past 24 hours. Upon questioning, she does not recall passing gas since the onset of her symptoms. HR 115, BP 90/58 What is your next step in management.?

 

A. Place and NG tube for GI decompression

B. Start an IV, send STAT labs and begin IV resuscitation

C. Obtain a CT scan with PO water soluble contrast (gastrografin) to confirm suspected diagnosis

D. PE exam focusing on the abdomen and specifically looking for evidence of previous incisions and hernias

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