A 28-year-old woman presents with right lower quadrant abdominal pain, nausea, and anorexia for 24 hours. She has localised tenderness and rebound at ...

Question

A 28-year-old woman presents with right lower quadrant abdominal pain, nausea, and anorexia for 24 hours. She has localised tenderness and rebound at McBurney's point. Pregnancy test is negative. According to surgical guidelines, what is the most appropriate next step?

Accepted Answer

Order ultrasound abdomen/pelvis and arrange urgent surgical consultation

Answer

Discharge with analgesia and observe

Answer

Order CT abdomen with contrast as first-line imaging in all reproductive-age women

Answer

Treat empirically with oral antibiotics at home

Answer

Perform diagnostic laparoscopy without imaging

ca-mccqe1 MCQ (SBA): Acute appendicitis initial evaluation

A 28-year-old woman presents with right lower quadrant abdominal pain, nausea, and anorexia for 24 hours. She has localised tenderness and rebound at McBurney's point. Pregnancy test is negative. According to surgical guidelines, what is the most appropriate next step?