A 28-year-old man presents with right iliac fossa pain that began around the umbilicus 12 hours ago, associated with anorexia and low-grade fever. The...

Question

A 28-year-old man presents with right iliac fossa pain that began around the umbilicus 12 hours ago, associated with anorexia and low-grade fever. There is localised tenderness and guarding in the right iliac fossa. What is the most appropriate management?

Accepted Answer

Urgent surgical assessment for appendicectomy

Answer

Discharge with oral antibiotics and review if symptoms worsen

Answer

Arrange urgent ultrasound only and await result

Answer

Start high-dose steroids and observe

Answer

Refer to rheumatology for possible inflammatory bowel disease

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

A 28-year-old man presents with right iliac fossa pain that began around the umbilicus 12 hours ago, associated with anorexia and low-grade fever. There is localised tenderness and guarding in the right iliac fossa. What is the most appropriate management?