A 60 year old patient presents with three days onset of severe abdominal pain radiating to the back.

Question Number 0112

Question:
A 60 year old patient presents with three days onset of severe abdominal pain radiating to the back. On physical examination, a pulsatile mass in the periumbilical region is found. The patient is hemodynamically stable The next appropriate step would be

a) CT scan of the abdomen
b) blood culture
c) serum alcohol level
d) serum amylase
e) ultrasound of the abdomen


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