In this MRCS Part B scenario you are the on call surgical registrar. Please talk to Mr Donald, find out why he wants to go home, and explain why he must stay in.

Click here

James Donald is a 27-year-old man who presented with right iliac fossa pain. History, examination and investigation including US and bloods point to a possible but not definite appendicitis


Mr Jones the colorectal surgeon has reviewed him and decided that he wants to observe the patient in hospital for the next 24 hours, with a view to a laparoscopic appendicectomy in the morning if he fails to improve and an emergency appendicectomy overnight if he deteriorates.