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March 25, 2024

A 5-year-old patient is evaluated for acute abdominal pain. Vital signs are notable for a temperature of 102.2˚F

A 5-year-old patient is evaluated for acute abdominal pain. Vital signs are notable for a temperature of 102.2˚F, heart rate of 136 beats/minute, and blood pressure of 73/42. The exam is notable for right lower quadrant guarding and rebound tenderness. A computed tomography (CT) scan of the abdomen and pelvis reveals perforated appendicitis. The patient’s parents refuse to consent to surgery or medication. What is the most appropriate next step? A. Respect the parents’ wishes B. Perform emergency surgery C. Conduct watchful waiting without antibiotics D. Discharge to another physician

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