Acute Appendicitis — RACP Paediatrics MCQ

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EasyGastroenterologyAcute AppendicitisRACP Paediatrics

A 16-year-old presents with acute onset right iliac fossa pain, fever, and vomiting. WCC is elevated. What is the clinical diagnosis?

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Correct answer: D — Acute appendicitis

Acute appendicitis is the most common surgical emergency in children. Clinical features include periumbilical pain migrating to the RIF, fever, anorexia, and vomiting. USS is the first-line imaging in children. Urgent appendicectomy (open or laparoscopic) is the standard treatment.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Acute Appendicitis