Slight Discomfort in Surgery — 10yo Child | Pediatric Surgery | SMLE Q#11747

SMLE Question #11747

Surgery Pediatric Surgery

Objective: OBJ-1758

Last updated: February 2026
A 10-year-old boy has 12 hours of abdominal pain that started periumbilically and migrated to the right lower quadrant. He has mild nausea, no vomiting, and tolerates oral fluids. Examination shows mild localized right lower quadrant tenderness without guarding or rebound, and he can jump with slight discomfort. Laboratory results show mild leukocytosis and a mildly elevated C-reactive protein. Findings are equivocal for appendicitis. What is the most appropriate next step in management?

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