Surgery question of the day 23/10/14

A 21-year-old woman presents with a 24 hour history of right iliac fossa pain. She is apyrexial with a tachycardia of 100 bpm and on examination she is focally tender approximately 4 cm below McBurney's point. A pregnancy test is negative. Urinalysis is normal. What would be the most appropriate management of this patient?
(Please select 1 option)
1 Intravenous antibiotics
2 Laparoscopy
3 Laparotomy
4Observe
5 Open appendicectomy






2