Created at 7:39 p.m. Aug, 17, 2025
Author: vpinkert
Related Note: 1585849400477 3
Rationale for change

NBME 13, Section 4, Question 39 says exactly the opposite- if the patient presentation has clear clinical signs of appendicitis with no competing differential, further imaging should not delay treatment. Per NBME:

"However, further confirmation of diagnosis with a CT scan or ultrasonography should not delay operative intervention in a patient with a clear clinical diagnosis of appendicitis and no other source of fever with a negative urinalysis. This patient presents with clear features of appendicitis and no clear competing diagnosis; the best next step is operative intervention."

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#AK_Step2_v12::#UWorld::COMLEX::28871 #AK_Step2_v12::#UWorld::Step::3064 #AK_Other::#AK_Original_Decks::Step_2::MedicalArk #AK_Step2_v12::Original_decks::MedicalArk::surg::uworld #PANCE::GI::small_intestine_disorders #AK_Step2_v12::#Subjects::Gastroenterology::08_Appendix #PANCE::EOR::PEDS #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::1surgery #AK_Step2_v12::#SketchySurgery::04_Lower_Gastrointestional_Disorders::02_Benign_Colon_Disorders::01_Appendicitis #AK_Step2_v12::#NinjaNerd::08_Gastrointestinal::03_Pathology::18_Appendicitis #AK_Step2_v12::!Shelf::Surgery::no_dupes::only_step2 #PANCE::EOR::EM #PANCE::EOR::Family_med #AK_Step2_v12::#Subjects::Gastroenterology::08_Appendix::Appendicitis::Management #AK_Step2_v12::#SketchySurgery::06_Lessons_from_the_OR::03_Appendectomy_Overview #AK_Step2_v12::#AMBOSS #PANCE::EOR::Surgery #AK_Step2_v12::#OME::Clinical::Intern_Bootcamp::Intern_Bootcamp::Clinical_Reasoning:_The_Art_of_Clinical_Reasoning #AK_Other::Only_Step_2 #AK_Step3_v12::#UWorld::CCS::Case21 #AK_Step2_v12::#Resources_by_rotation::Surgery::uworld::medicalark