Crucial Exams

BCEN CEN Practice Question

A 17-year-old male presents to the emergency department with a 24-hour history of abdominal pain that initially started around the umbilicus and has now localized to the right lower quadrant. He rates the pain as 7/10 and describes it as constant. The patient also reports a low-grade fever and nausea without vomiting. On examination, there is tenderness at McBurney's point. Based on the clinical presentation, what is the most appropriate next step in management?

  • Order laboratory studies, including a complete blood count, and discharge with outpatient follow-up.

  • Immediately prepare the patient for emergency surgery without further imaging.

  • Obtain a computed tomography (CT) scan of the abdomen.

  • Administer broad-spectrum antibiotics and reassess in 12 hours.

BCEN CEN
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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