A 26-year-old woman presents with 24 hours of right lower quadrant pain, low-grade fever and nausea. Pregnancy test is negative. Examination shows loc...

Question

A 26-year-old woman presents with 24 hours of right lower quadrant pain, low-grade fever and nausea. Pregnancy test is negative. Examination shows localised tenderness with mild guarding. She is clinically stable. Which imaging modality is preferred as the first-line investigation?

Accepted Answer

Transabdominal and transvaginal ultrasound

Answer

CT abdomen and pelvis with contrast

Answer

MRI abdomen

Answer

No imaging; proceed directly to laparotomy

Answer

Plain abdominal radiography

ca-mccqe1 MCQ (SBA): Suspected appendicitis in young women

A 26-year-old woman presents with 24 hours of right lower quadrant pain, low-grade fever and nausea. Pregnancy test is negative. Examination shows localised tenderness with mild guarding. She is clinically stable. Which imaging modality is preferred as the first-line investigation?