A 56 year old male with a known history of abdominal aortic aneurysm awaiting surgery is admitted with severe abdominal pain radiating to the back.

Question Number 0738

Question:
A 56 year old male with a known history of abdominal aortic aneurysm awaiting surgery is admitted with severe abdominal pain radiating to the back. His blood pressure is 80/40. His hemoglobin on admission is 8g/dl and falls to 5g/dl despite being transfused six units of blood.

a) clotting studies
b) abdominal ultrasound
c) trans-esophageal echocardiogram
d) immediate surgery
e) ventilation-perfusion scan


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