Anorexia in Surgery — 17yo Man | General Surgery | SMLE Q#16892
SMLE Question #16892
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 17-year-old man has 18 hours of progressively worsening right lower quadrant abdominal pain with anorexia. Examination shows maximal tenderness with guarding and rebound at McBurney's point. Plain abdominal radiograph shows a 1.5-cm round radiopaque focus in the right iliac fossa suggestive of a fecalith. What is the most appropriate next step in management?
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