31st July 2023

A 23-year-old woman presents to the emergency department with a 1-day history of sudden onset RIF pain associated with fever, nausea and vomiting

A 23-year-old woman presents to the emergency department with a 1-day history of sudden onset RIF pain associated with fever, nausea and vomiting. She is normally fit and well, and her last menstrual period was last week. On examination, her RIF is tender, with guarding and rebound tenderness. She is tachycardic and febrile, but all other vital signs are stable. Bloods show a raised CRP and a normal WCC. Abdominal and pelvic ultrasound are normal.

What is the next most appropriate management step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.