<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A previously healthy 27-year-old man is brought to the emergency department 35 minutes after being involved in a high-speed motor vehicle collision in which he was an unrestrained passenger. He was ambulatory at the accident scene, with stable vital signs and no major external injuries except abrasions to both upper extremities. On arrival, he is alert and oriented. His temperature is 37.3C 99.1F, pulse is 88min, respirations are 14min, and blood pressure is 12874 mm Hg. Abdominal examination shows ecchymosis over the upper abdomen, with tenderness to palpation over the left upper quadrant. There is no guarding or rigidity. Rectal examination is unremarkable. A CT scan of the abdomen with intravenous contrast shows a subcapsular splenic hematoma comprising 8 of the surface area, with no contrast extravasation and minimal blood in the peritoneal cavity. Which of the following is the next best step in management?? A: Laparoscopic splenectomy, B: Hospitalization and frequent ultrasounds, C: Exploratory laparotomy and splenectomy, D: Coil embolization of short gastric vessels, E: Discharge home and follow up closely,  <response>: This is a question about managing a patient with a splenic injury after trauma. The key findings in the stem are that the patient has a subcapsular splenic hematoma involving 8 of the surface area on CT scan, with minimal blood in the peritoneum. The choices include surgical options like laparoscopic splenectomy, open splenectomy, and angiographic embolization, as well as conservative management with hospitalizationmonitoring versus discharge home.The optimal management of splenic injuries depends on the grade of injury and hemodynamic stability. Since this patient has a low grade injury subcapsular hematoma 10 surface area and is hemodynamically stable, the best initial approach is likely conservative management with close monitoring rather than immediate surgical intervention. Embolization can be considered for ongoing bleeding. Discharge home would not be appropriate initially given the recent trauma.B: Hospitalization and frequent ultrasounds 