[Answer] A 25 year old male is seen in the emergency room with focal right lower quadrant pain. He had mild abdominal discomfort last night which he has difficulty specifically describing. This morning he had severe right lower quadrant pains which he says are much worse. He has no fever. His WBC is 14k with 90% PMNs. CT scan of the abdomen and pelvis identifies an inflamed appendix with an appendicolith. He is evaluated by a surgeon who confirms the diagnosis of appendicitis and he is taken to surgery for appendectomy. He is found to have typical non-perforated appendicitis. Which of the follow best describes the appropriate use of antibiotics in this patient? Antibiotics should be given orally A single dose of antibiotic pre-operatively is necessary Antibiotics should be given pre-operatively and for no more than 24 hours post-operatively Antimicrobials are not necessary for non-perforated appendicitis Antibiotics should be continued post-operatively until the patient's WBC returns to normal

Answer: Antibiotics should be given pre-operatively and for no more than 24 hours post-operatively

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A 25 year old male is seen in the emergency room with focal right lower quadrant pain. He had mild abdominal discomfort last night which he has difficulty specifically describing. This morning he had severe right lower quadrant pains which he says are much worse. He has no fever. His WBC is 14k with 90% PMNs. CT scan of the abdomen and pelvis identifies an inflamed appendix with an appendicolith. He is evaluated by a surgeon who confirms the diagnosis of appendicitis and he is taken to surgery for...

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