ABS General Surgery

Practice session

A 28-year-old otherwise healthy man presents with 18 hours of periumbilical pain that has migrated to the right lower quadrant, anorexia, and a temperature of 38.2 C. He has focal tenderness at McBurney point with involuntary guarding, WBC 14,200, and a CT confirms a 9 mm non-perforated appendix with periappendiceal fat stranding. What is the most appropriate next step?

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