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Appendicitis — ABEM Board MCQ

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EasyGI/Abdominal emergenciesAppendicitisABEM Board

A 24-year-old man arrives with 12 hours of migrating abdominal pain and anorexia. Triage acuity is ESI 3; T 100.8 F, BP 124/76 mm Hg, HR 104/min. He has right lower quadrant tenderness, rebound, and leukocytosis. He is not allergic to contrast. Which of the following is the most appropriate imaging study?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — CT abdomen and pelvis with IV contrast

In a nonpregnant adult with suspected appendicitis, CT abdomen and pelvis with IV contrast is commonly the preferred diagnostic imaging study.

Reference: ACEP Appendicitis clinical policy