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.

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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

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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.