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Reported Question / Answer
Q.) A 25 year old boy reports 36 hours following a RTA with splenic injury,BP-100/60 mm Hg and pulse-180/minute.Investigations show splenic lower pole laceration with hemoperitoneum.The patient is resuscitated with blood transfusion and adequate fluid to the extend BP-120/80 mm Hg and pulse-80/minute.Next step in management would be:
1)
Splenorraphy
2)
Lower pole excision
3)
Splenectomy
4)
Observation with close mon coring and no surgery until further deterioration
5)
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Answer :
4
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