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13037 Medicine

A middle age male patient met with a road traffic accident & is brought to emergency in an unconscious state. CT abdomen reveals a splenic laceration, emergency splenectomy is done & patient is shifted to ICU. His BP remains low in post op period even after a bolus of normal saline. O/E- he is afebrile, has moon like face with central obesity & presence of violet striae over abdomen. Repeat CT scan of the chest, abdomen, and pelvis shows no hemorrhage. What is the next best step in management of this patient?

AReturn to the operating room for exploratory laparotomy
BAdminister hydrocoisone 100 mg IV
CAdminister vancomycin and piperacillin/tazobactam
DPerform MRI of the spine.
Medicine
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