NAC OSCE Exam

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A patient presents with acute right lower quadrant pain, fever, and rebound tenderness. The initial blood work shows elevated WBC. What is the MOST likely diagnosis and next step?

Gastroenteritis — prescribe anti-emetics and fluids Acute appendicitis — urgent surgical consultation and consider CT abdomen/pelvis for confirmation Irritable bowel syndrome — reassure and discharge Renal colic — order renal ultrasound

Correct Answer:

Acute appendicitis — urgent surgical consultation and consider CT abdomen/pelvis for confirmation

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