Question

A 19-year-old man presents with 24 hours of periumbilical pain that has migrated to the right iliac fossa, associated with anorexia and low-grade fever. Examination reveals localised tenderness and guarding in the right iliac fossa. What is the most appropriate next step in management?

Accepted Answer

Arrange emergency surgical assessment for suspected appendicitis

Answer

Order abdominal ultrasound and await results before referral

Answer

Discharge with oral antibiotics and review in 48 hours

Answer

Treat as irritable bowel syndrome and reassure

Answer

Arrange routine outpatient surgical clinic appointment

Practice question

A 19-year-old man presents with 24 hours of periumbilical pain that has migrated to the right iliac fossa, associated with anorexia and low-grade fever. Examination reveals localised tenderness and guarding in the right iliac fossa. What is the most appropriate next step in management?