Which of the following is LEAST compatible with acute, uncomplicated appendicitis?
- periumbilical pain early
- localized RLQ pain late
- WBC > 22,000
- Rebound tenderness
- Low-grade fever
Answer: C
WBC > 22,000
A normal WBC does NOT r/o appy. Usually, the pain starts periumbilically or diffusely, then moves to the RLQ later, the fever will be low 99-100, and there is usually rebound tenderness.
Know Your Content Blueprint
Appendicitis is covered as part of the PANCE GI and Nutrition Blueprint
Review Topic: Appendicitis (ReelDx)