A 24-year-old man presents with 24 hours of right iliac fossa pain, anorexia and low-grade fever. Examination reveals localised tenderness and guardin...

Question

A 24-year-old man presents with 24 hours of right iliac fossa pain, anorexia and low-grade fever. Examination reveals localised tenderness and guarding in the right iliac fossa with a positive Rovsing’s sign. WCC and CRP are elevated. What is the most appropriate next step in management?

Accepted Answer

Urgent surgical assessment for appendicectomy

Answer

Discharge with oral antibiotics and safety-netting

Answer

Arrange an outpatient abdominal ultrasound

Answer

Start high-dose oral steroids

Answer

Request elective CT colonography

uk-plab-1 MCQ (SBA): Acute appendicitis

A 24-year-old man presents with 24 hours of right iliac fossa pain, anorexia and low-grade fever. Examination reveals localised tenderness and guarding in the right iliac fossa with a positive Rovsing’s sign. WCC and CRP are elevated. What is the most appropriate next step in management?