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EasyGastrointestinalAcute appendicitisuk-plab-1

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?

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