A 22-year-old man has right iliac fossa pain, fever and localised peritonism. Blood tests show mild neutrophilia. Ultrasound is inconclusive. What is ...

Question

A 22-year-old man has right iliac fossa pain, fever and localised peritonism. Blood tests show mild neutrophilia. Ultrasound is inconclusive. What is the most appropriate next step?

Accepted Answer

Urgent surgical assessment for possible appendicectomy

Answer

Discharge with oral analgesia

Answer

Start broad-spectrum antibiotics only and review in one week

Answer

Colonoscopy to exclude malignancy

Answer

MRI abdomen as routine

uk-plab-1 MCQ (SBA): Acute appendicitis

A 22-year-old man has right iliac fossa pain, fever and localised peritonism. Blood tests show mild neutrophilia. Ultrasound is inconclusive. What is the most appropriate next step?