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Acute appendicitis — RCPSC EM MCQ

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EasyGI/Abdominal emergenciesAcute appendicitisRCPSC EM

CTAS 3. A 24-year-old has 18 hours of migratory periumbilical to right lower quadrant pain, anorexia, and fever. HR is 104, WBC 15, and urinalysis is normal. Exam shows localized rebound at McBurney point. What is the most likely diagnosis?

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Correct answer: BAcute appendicitis

Migration of pain, anorexia, fever, leukocytosis, and focal right lower quadrant peritonism are typical of appendicitis.

Reference: Canadian Association of General Surgeons appendicitis resources