Seatbelt Restraint in Surgery — 28yo Man | Trauma Surgery | SMLE Q#17600

SMLE Question #17600

Surgery Trauma Surgery

Objective: OBJ-TRAUMA-INITIAL-ABD-BLUNT

Last updated: February 2026
A 28-year-old man presents to a primary care clinic 2 hours after a low-speed motor vehicle collision with seatbelt restraint. He reports mild, constant right upper quadrant abdominal pain. He denies vomiting, hematemesis, syncope, chest pain, or hematuria and is not taking anticoagulants. He is alert and comfortable. Abdominal examination shows mild right upper quadrant tenderness without guarding, rebound, or distension, and there is no external bleeding. What is the most appropriate initial step in management?

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