<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 27-year-old man presents to the emergency department after being stabbed. The patient was robbed at a local pizza parlor and was stabbed over 10 times with a large kitchen knife with an estimated 7 inch blade in the ventral abdomen. His temperature is 97.6F 36.4C, blood pressure is 7454 mmHg, pulse is 180min, respirations are 19min, and oxygen saturation is 98 on room air. The patient is intubated and given blood products and vasopressors. Physical exam is notable for multiple stab wounds over the patients abdomen inferior to the nipple line. Which of the following is the best next step in management?? A: CT scan of the abdomen and pelvis, B: Diagnostic peritoneal lavage, C: Exploratory laparoscopy, D: Exploratory laparotomy, E: FAST exam,  <response>: This is a trauma case involving multiple stab wounds to the abdomen. The key findings are hypotension, tachycardia, and multiple penetrating abdominal wounds on exam. The main concern is intra-abdominal injury and hemorrhage. The question asks for the best next step in management. CT scan can diagnose intra-abdominal injuries but takes time and the patient is unstable. Diagnostic peritoneal lavage and exploratory laparoscopy also take time. FAST exam may miss injuries. Exploratory laparotomy allows for rapid control of any sources of bleeding and is the definitive diagnostic and therapeutic step in an unstable patient with penetrating abdominal trauma.D: Exploratory laparotomy 