A patient has right iliac fossa pain, anorexia, nausea and fever. Which is the most likely diagnosis?

Answer and explanation

Correct answer: D. Acute appendicitis

  1. Step 1: Pain that migrates to the right iliac fossa suggests appendicitis.
  2. Step 2: Appendicectomy is the standard treatment.
Answer
Acute appendicitis.
Why not the others: 'Acute cholecystitis' causes right upper quadrant pain; 'Acute pancreatitis' causes epigastric pain radiating to the back; 'Sigmoid volvulus' presents with distension and constipation.

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