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

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 but all other vital signs are stable. Bloods show a raised CRP and a normal WCC. Abdominal and pelvic ultrasound are normal.

What scoring system can be used to help determine the need for further investigations and management of the suspected cause?

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