{"ops":[{"insert":"A 56 year old man presents 20 minutes after being struck by a motorcycle, while cycling. He now complains of a dull pain in the upper abdomen.\n\nHis last meal was 5 hours ago, but he had drunk several beers within the immediate hour before the accident.\n\nHis medical and surgical histories are unremarkable. He has been a heavy drinker for the last 10 years.\n\nA full blood count, renal functions and electrolytes, clotting screen, serum glucose and ECG are all normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-033_en.png"}},{"insert":"\n"}]}
2
Investigate
FAST
{"ops":[{"insert":"The FAST scan shows heterogeneous hyperechoic fluid within the gallbladder. No other abnormalities are seen.\n"}]}
Diagnostic Laparoscopy
{"ops":[{"insert":"You remember that diagnostic laparoscopy is not routinely recommended in blunt abdominal trauma.\n"}]}
