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Splenic injury — ABEM Board MCQ

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ModerateTraumaSplenic injuryABEM Board

A 34-year-old woman arrives after a high-speed MVC with left upper quadrant pain. Triage acuity is ESI 2; BP 118/74 mm Hg, HR 108/min, SpO2 99%. She is alert and has left shoulder pain with abdominal tenderness. FAST is equivocal, and she remains hemodynamically stable. Which of the following is the most appropriate imaging study?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — CT abdomen and pelvis with IV contrast

Stable blunt abdominal trauma with suspected solid-organ injury is best evaluated with contrast-enhanced CT.

Reference: ATLS trauma guidance; ACEP Acute Blunt Trauma clinical policy