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5124 Surgery

A 65-year-old man is brought to the hospital after being hit by a car. His blood pressure is 150/90 mm Hg, and pulse is 120 bpm. There is deformity just below the left knee and no distal pulses palpable in that leg. Plain films show proximal tibia and fibula fractures. What is the next step in management?

AOperative intervention to restore flow with an arterial shunt
BAngiography
CDoppler ultrasound
DOperative reduction and internal fixation
Surgery
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