Old man with RLQ pain

Learning issues:
1. Recognize anatomy & landmarks
2. Blind-ended tubular structur
3. Hyperechoic mesenteric fat surrounding the appendix
If you have this information, will you still do CT ??

Sonographic diagnosis: Acute appendicitis
Operative diagnosis: Acute appendicitis
Clinical process: Hx -> PE & Echo -> Surgeon -> Surgery

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