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Appendicitis — RACP Paediatrics MCQ

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EasyGIAppendicitisRACP Paediatrics

A 5-year-old presents with central abdominal pain that has migrated to the right iliac fossa over 24 hours. There is low-grade fever, anorexia, and vomiting. Examination reveals guarding and rebound tenderness at McBurney's point. WCC is 15 × 10⁹/L with neutrophilia. What is the most likely diagnosis?

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Correct answer: D — Appendicitis

Migratory pain from periumbilical to right iliac fossa, anorexia, vomiting, low-grade fever, and localised peritonism at McBurney's point with a neutrophilic leucocytosis is the classic presentation of acute appendicitis. Urgent surgical review is required.

Reference: RCH Melbourne – 2024 – Abdominal Pain – Acute CPG; RACP Paediatric Curriculum – Gastroenterology