A 29-year-old woman presents with right lower quadrant abdominal pain, low-grade fever and anorexia for 12 hours. Examination reveals localised tender...

Question

A 29-year-old woman presents with right lower quadrant abdominal pain, low-grade fever and anorexia for 12 hours. Examination reveals localised tenderness and rebound in the right iliac fossa. Pregnancy test is negative. What is the most appropriate next step?

Accepted Answer

Arrange urgent CT abdomen with contrast or surgical review for suspected appendicitis

Answer

Discharge with analgesia and review in 1 week

Answer

Start oral antibiotics and review in 48 hours without imaging

Answer

Order colonoscopy

Answer

Treat as irritable bowel syndrome

au-amc MCQ (SBA): Acute appendicitis

A 29-year-old woman presents with right lower quadrant abdominal pain, low-grade fever and anorexia for 12 hours. Examination reveals localised tenderness and rebound in the right iliac fossa. Pregnancy test is negative. What is the most appropriate next step?