1.

A young sewage worker was brought to hospital with history of feeling of exhaustion ,abdominal pain ,vomiting ,fever & shock. His heart rate is 120/min ,respiratory rate is 30/min & blood pressure is 100/70 per minute .His clinical features are suggestive of peritonitis .What is the next step of management?

A. Immediately take the patient for laparotomy under GA
B. Take the patient for Diagnostic laparoscopy & then exploratory laprotomy
C. Insert an abdominal drain under LA and then for exploratory laprotomy
D. Resuscitate the patientwith I.V. fluid &oxygen,then shift patient for exploratory laprotomy
Answer» E.


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