A 32-year-old male presents to the emergency department after a motor vehicle collision. He complains of left upper quadrant abdominal pain and has bruising over the left lower chest. His vital signs reveal hypotension and tachycardia. Which solid organ is most likely injured, and what is the initial management priority?
Pancreas; Start antibiotics and obtain an emergency CT scan
Spleen; Initiate fluid resuscitation and monitor hemodynamic status
Kidney; Administer pain control and prepare for dialysis
In the context of trauma presenting with left upper quadrant pain and bruising over the lower chest, the spleen is the most likely solid organ injured. The initial management priority for a suspected splenic injury is to stabilize the patient with fluid resuscitation and monitor for signs of ongoing bleeding or hemodynamic instability. If the patient remains unstable after resuscitation, surgical intervention may be necessary. The incorrect options either refer to different organs or improper initial management steps.
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