Question

A 29-year-old woman presents with acute onset right lower quadrant pain, nausea and anorexia for 12 hours. Examination reveals localised tenderness and guarding at McBurney point. WBC is 14 × 10⁹/L. According to acute appendicitis guidelines, what is the preferred management?

Accepted Answer

Laparoscopic appendicectomy

Answer

Observation only

Answer

Oral antibiotics and discharge

Answer

Open laparotomy is mandatory

Answer

CT abdomen before any surgical decision in all patients

Practice question

A 29-year-old woman presents with acute onset right lower quadrant pain, nausea and anorexia for 12 hours. Examination reveals localised tenderness and guarding at McBurney point. WBC is 14 × 10⁹/L. According to acute appendicitis guidelines, what is the preferred management?