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You are the surgeon on call at midnight and you're getting antsy because there aren't any good cases going on. You troll through the emergency department looking for appendices to remove and wander into the CT scan just as this image comes onto the screen. You're in business! You glance at the CT requisition and it says "65 year old man, back pain, hypotension."

Challenge: You call the OR immediately and tell them a patient is coming up with what?

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