Here’s how I answer blunt abdominal trauma on the USMLE Step 2 CK. First, in the vignette, look at the vitals. This helps out in majority of NBME questions. If the patient is… Unstable? 😳 ⊕ Peritonitis → next best step is exploratory laparotomy 🔪 Vital signs are stable? ☺️ Then think doing a CT Scan of the Abdomen & Pelvis 📸 Bonus, NBME questions may allude to a FAST ultrasound…remember, it’s great for intraperitoneal fluid, not retroperitoneal (duodenum/pancreas)! Save this! Hope it’s helpfu
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