A 24-year-old man presents with 12 hours of right iliac fossa pain, anorexia and low-grade fever. Examination reveals tenderness and guarding in the r...

Question

A 24-year-old man presents with 12 hours of right iliac fossa pain, anorexia and low-grade fever. Examination reveals tenderness and guarding in the right iliac fossa with rebound tenderness. His white cell count and CRP are raised. What is the most appropriate management?

Accepted Answer

Urgent referral for surgical assessment and probable appendicectomy

Answer

Reassure and discharge with simple analgesia

Answer

Start oral antibiotics and review in 48 hours

Answer

Arrange outpatient colonoscopy

Answer

Start high-dose steroids

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

A 24-year-old man presents with 12 hours of right iliac fossa pain, anorexia and low-grade fever. Examination reveals tenderness and guarding in the right iliac fossa with rebound tenderness. His white cell count and CRP are raised. What is the most appropriate management?