A 45-year-old man has been involved in a road traffic accident. He was the restrained driver in a head-on collision with a tree at 60 mph.
He has been conscious throughout and is complaining of abdominal pain.
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Place the common injury and less likely injury in the correct areas
Common internal injury
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Less likely injury
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The patient starts to complain of increasing generalised abdominal and lower back pain. His heart rate is 110 bpm and blood pressure is 100/65 mmHg. Examination reveals a generally tender abdomen. You log-roll him and find that he is tender in his mid-lumbar region. There is no neurological abnormality.
Select the three investigations that will be most useful and appropriate in determining this patient's underlying injury.