<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 66-year-old man is brought to the emergency department after a motor vehicle accident. The patient was a restrained passenger in a car that was struck on the passenger side while crossing an intersection. In the emergency department, he is alert and complaining of abdominal pain. He has a history of hyperlipidemia, gastroesophageal reflux disease, chronic kidney disease, and perforated appendicitis for which he received an interval appendectomy four years ago. His home medications include rosuvastatin and lansoprazole. His temperature is 99.2F 37.3C, blood pressure is 12087 mmHg, pulse is 96min, and respirations are 20min. He has full breath sounds bilaterally. He is tender to palpation over the left 9th rib and the epigastrium. He is moving all four extremities. His FAST exam reveals fluid in Morrisons pouch.This patient is most likely to have which of the following additional signs or symptoms?? A: Pain radiating to the back, B: Gross hematuria, C: Shoulder pain, D: Muffled heart sounds, E: Free air on chest radiograph,  <response>: This is a clinical vignette about a 66-year-old man who was in a motor vehicle accident and is now presenting to the emergency department with abdominal pain. Key details from the vignette that are useful for answering the question include:- He has a history of hyperlipidemia, GERD, CKD, and prior appendectomy- He is alert and complaining of abdominal pain after MVA - He has tenderness over left 9th rib and epigastrium- FAST exam shows fluid in Morrisons pouch- Vital signs are notable for mild fever and tachycardiaThe patient likely sustained intra-abdominal injury in the MVA given his abdominal tenderness and fluid in Morrisons pouch on FAST. The question is asking what additional sign or symptom he is likely to have. Based on the history and physical exam findings, this patient likely has some type of intra-abdominal organ injury, such as a splenic laceration or bowel injury. These types of injuries can cause referred shoulder pain due to irritation of the diaphragm. The other answer choices are less likely based on the vignette.C: Shoulder pain 