The RLQ is one of the most commonly tested abdominal regions on the USMLE/COMLEX exams. In this podcast, I run through many of the HY pathologies associated with the RLQ and make numerous integrations that should help you score easy points on your test.
DIP Ep 629: The Clutch Right Lower Quadrant Podcast
Hi! Just want to clarify the rules for appendicitis management. NBME 13 for Step 2 and UWorld have conflicting rules. NBME 13 states that imaging of any kind is NOT needed if there is a strong clinical picture for appendicitis, and that we should not delay surgery for imaging (even in stable patients). UWorld states that imaging is REQUIRED in both adults & children. It states we should do a CT scan for most adults and US for pregnant women and children to avoid radiation. Taking Step 2 soon and am not sure how to answer these questions given these contradicting guidelines. For children and/or adults should we skip imaging if the clinical picture is clear?
I would go with what the NBMEs say in this case.