You're dispatched to a local Crossfit gym for a 26yearold complaining of abdominal pain. You find your patient sitting in a chair, grimacing in pain, guarding his abdomen. He states he was in the middle of deadlifts and suddenly experienced a sharp, stabbing pain in LUQ.

BP 106/68
HR 96
SaO2 96%, poor pleth
ETCO2 35
RR 22
Skin cool and clammy

❓ What is your differential diagnosis?
❓ what additional assessments will you do?
❓ Based on your DDx, what is your treatment plan?