21-year-old patient case of RTA unrestrained came to you stable has abdominal pain and tenderness. CT done then he deteriorated. BP 80/40
Ct result show: Splenic injury with extravasation and Thoracic aorta injury.
What is the most appropriate?

27-year-old male patient presents with abdominal pain and groin swelling that is not reduced recently. Examination: tender irreducible inguinal swelling, no skin changes.
AXR: multiple air fluid levels.
What is the most likely type of hernia?

43-year-old male patient post appendectomy 2 years back comes with abdominal pain and obstipation. stable vitally. O/E: minimal diffuse tenderness. Bowel sounds are exaggerated. WBC: 11. AXR: multiple fluid levels.
What is the most appropriate next step?

28-year-old male patient presents to ED with RLQ Abdominal pain, Examination confirm RLQ tenderness with ill defined mass. WBC: 19. CT abdomen: 10 x 15 cm hypoechoic collection with enhanced rim.
what is the most appropriate management?

35-year-old male patient 5 days post open appendectomy comes with on/off fever, Examination: no abdominal tenderness wound: redness, tenderness and purulent discharge. WBC: 19
What is the best next step in management?

56-year-old man, K/C of AF on warfarin, presents with sudden LLQ pain after getting trauma to abdomen. P: 105 BP: 125/72. O/E: tender mass in LLQ that does not change with abdominal muscle contraction.
What is the most appropriate management?

56-year-old male patient presents to ED with 5 days history of RLQ pain, diagnosed as case of appendicular phlegmon, he went through successful nonoperative management and discharged 7 days after
What is the best next step?

63-year-old male patient K/C of AF presents to ER with severe generalized abdominal pain, follows meals and for 6 hr. VS: P: 123, BP: 85/47. O/E: Generalized tenderness with diffuse rebound. WBC: 18 pH: 7.0, Lactate: 6
What is the best management?

27-year-old male patient Post splenectomy for grade 5 splenic injury as a result of MVC.
which is of the following hormone supposed to be decreased?

64-year-old woman K/C HTN, and AF presents to ED with 8h generalized abdominal pain associated with nausea and diarrhea. Sever 10/10. O/E abdomen is soft, nondistended, and mildly tender Labs: WBC: 12 and lactate: 4
What is the most like diagnosis?

44-year-old man presents with perianal pain and with diarrhea sometimes bloody. He has on-off abdominal pain for months. Vitals: BP: 123/65 HR: 106 T: 39.1 O/E: 3*3 tender perianal mass with fluctuation. WBC 19.
What is the most appropriate management?

32-year-old female patient 16D post CS, presenting with abdominal pain, secretion of greenish discharge from the wound and. She has previous multiple CS with adhesions. CT fistula tract between small bowel and skin.
What is your initial management?

73-year-old male after perforated diverticulitis with huge contamination, admitted to ICU, and received 6 L IVF and 1 PRBC over 12 hrs. Broad spectrum antibiotics were given. BP 70/45 P: 125 T: 39 O2: 93%. WBC 18
What is the appropriate intervention?