QuestionSBA
QuestionChoice
There is nothing to suggest pathology in the colon at present.
10028460
e
Colonoscopy
QuestionChoice
This may be considered if gynaecological pathology is suspected on abdominal ultrasound as it is more invasive.
10028459
d
Transvaginal ultrasound
QuestionChoice
This is correct. This describes likely appendicits but an ultrasound scan is often used in females in the first instance to exclude ovarian and gynaecological pathology.
10028456
a
Abdominal ultrasound
QuestionChoice
This is the preferred diagnostic imaging modality in appendicitis but ovarian and gynaecological pathology can be quickly considered with an ultrasound.
10028457
b
CT Abdomen
QuestionChoice
A pregnancy test has been performed already and is negative.
10028458
c
Repeat pregnancy test
Concept
Chapter
2693
6066
Appendicitis
Topic
315
Surgery
18089
In young women with right iliac fossa pain, abdominal ultrasound is crucial to exclude gynaecological conditions before diagnosing appendicitis.
A 20 year old woman comes to the emergency department with right iliac fossa pain, which started in the umbilicus. She is nauseated and has vomited. She has not eaten since yesterday.

Urinary beta-HCG is negative.

What is the most appropriate initial investigation?
a