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Question #1
A previously healthy 8-year-old boy is brought to the clinic with a history of abdominal discomfort and localized tenderness in the right upper quadrant.
He is afebrile, and his vital signs remain within normal limits.
The physical examination reveals abdominal distension and ecchymosis over the corresponding area of tenderness.
He recalls falling off his bike approximately two weeks prior to the onset of symptoms.
What is the next best step in the management of this patient?
A. Observe and repeat physical examination in 24 hours
B. Order a Computed Tomography (CT) scan of the abdomen
C. Proceed with exploratory laparotomy
D. Request an Ultrasound (US) of the abdomen