Question 12

12.  Your patient is an 83 year old male who presents to the ER complaining of abdominal pain radiating through to his back.  You have obtained the following CT scan below.  Given this information, what is the best next management plan?

A.  Order an ultrasound of the the RUQ.  This patient is clearly has a gallbladder problem seen on this CT scan

B.  Consult vascular surgery, type and cross, and transfuse 4 units of blood, and have the nurse start a second large bore IV

C.  Consult nephrology for the right sided kidney mass

D.  Insert a nasogastric tube and admit to the hospital for a bowel obstruction