No Guarding Or Rebound in Pediatrics — 9yo Child | Pediatric Emergency | SMLE Q#17251

SMLE Question #17251

Pediatrics Pediatric Emergency

Objective: OBJ-OPH-REFERRAL-001

Last updated: February 2026
A 9-year-old girl has intermittent right lower quadrant abdominal pain for 8 hours. She is eating normally and has no nausea, vomiting, or fever. She appears comfortable. Abdominal examination shows mild right lower quadrant tenderness only on deep palpation, with no guarding or rebound. A clinical risk assessment suggests low probability of appendicitis. What is the most appropriate next step in management?

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