A 21-Year-Old Man Presented to the Emergency Department Due to a Motor

A 21-year-old man presented to the emergency department due to a motor vehicle collision. The patient was sitting on the side that receive the initial hit. The patient complains of severe abdominal pain associated with left shoulder pain. She has nausea, vomiting, and hiccups. The patient's blood pressure is 95/65 mm Hg and pulse is 125/min. Physical examination shows a bruise over the left lower chest. She has generalized abdominal tenderness and rigidity, with positive rebound tenderness. Which of the following is the most likely diagnosis?

A) Aortic rupture
B) Hemopericardium
C) Humerus fracture
D) Lung contusion
E) Splenic laceration

Correct Answer:

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