Appendicitis
Clinical Vignette Assessment
A previously healthy 10-year-old boy is brought to the emergency department by his parents with a 24-hour history of abdominal pain. The pain started around his umbilicus and, over the past 8 hours, has become sharp and localized to his right lower quadrant. He reports nausea and has vomited twice. He has no appetite. Physical exam reveals tenderness to palpation at McBurney's point with voluntary guarding and a positive Rovsing's sign. His white blood cell count is 15,000/µL with a left shift. An abdominal ultrasound is obtained and shows a non-compressible, tubular, blind-ending structure in the right lower quadrant measuring 8 mm in diameter with surrounding hyperechoic fat and trace free fluid.
Q1: Based on the clinical presentation and ultrasound findings, what is the most likely diagnosis?
Assessment Complete
You have finished the Appendicitis module.