Question

A 30-year-old man presents with right lower quadrant abdominal pain, nausea, and anorexia for 24 hours. His temperature is 100.9 F, and he has localized tenderness with rebound at McBurney point. What is the most appropriate next step in management?

Accepted Answer

Immediate appendectomy

Answer

Abdominal ultrasound only and discharge if normal

Answer

Broad-spectrum antibiotics and observation for 72 hours

Answer

CT colonography

Answer

Barium enema

Practice question

A 30-year-old man presents with right lower quadrant abdominal pain, nausea, and anorexia for 24 hours. His temperature is 100.9 F, and he has localized tenderness with rebound at McBurney point. What is the most appropriate next step in management?