症例 challenge · Surgical approach decision / General surgery / Emergency · teaching

Acute Appendicitis · Conservative vs Surgery + Approach · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on WSES 2020

Case #1Surgical approach decision / General surgery / Emergency

📋 Case data

Classification + preference/fecalithUncomplicated (CT-confirmed, no fecalith)
Uncomplicated · antibiotics vs surgery (shared decision)Surgery (definitive)
Surgery · choose approachLaparoscopic appendectomy (preferred)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 3 · Classification + preference/fecalith

Classification (uncomplicated/complicated) + fecalith/high-risk/preference?

💡 Trauma ABCs first. Complicated = abscess/phlegmon/perforation/peritonitis; uncomplicated = none of these. A fecalith predicts higher antibiotic failure.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.