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Splenic injury — RCPSC EM MCQ

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ModerateTraumaSplenic injuryRCPSC EM

CTAS 2. A 26-year-old is struck in the left flank during rugby. BP is 116/74 mmHg, HR 104, and left upper quadrant tenderness is present. FAST shows a small amount of free fluid. Haemoglobin is 132 g/L. What is the most appropriate investigation?

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

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Correct answer: ACT abdomen and pelvis with IV contrast

A haemodynamically stable blunt abdominal trauma patient with concerning findings should undergo contrast CT to define solid organ injury.

Reference: ATLS Student Course Manual; Canadian trauma system resources