Welcome. My name is Divine. This is episode 533 of the Divine Intervention Podcasts. In today's podcast, we're going to be continuing the series on the 24, USMLA Step 2C, Fray 120.

We've done the first 80 questions, so we're going to start with Block three. I might go to this to hopefully go from questions 81 to 90.

Let's get right into it.

So question 81.

A 28 year old man is admitted to the intensive care unit three hours after undergoing

resection and an asthmosis of a small bowel injury.

And nephrectomy because of a right renal laceration sustained in a motor vehicle collision.

He also has bilateral, minimally displaced pubic rami fractures.

He is intubated and mechanically ventilated.

He is receiving morphine and probopole.

He responds only to painful stimuli.

Pulse is 110 per minute.

Ventilatory rate is 12 per minute and blood pressure is 133 over 68 mm.

The abdomen is distended and soft and the incision is clean, dry and intact.

Since the operation, urine output has been 40 milliliters per hour and bloody.

During the past hour, urine output has been 5 milliliters and bloody.

In addition to intravenous administrative 0.9 saline, which of the following is the most

appropriate next step in management.

Option A, CT scan of the abdomen and pelvis.

Option B.

Repeat surgical exploration of the abdomen.

Option C.

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