Question special
Resident

In medical school I remember there being a strong push to diagnosis appendicitis clinically without the need for CT imaging (not sure if this is the case anymore in the surgical realm).

In this study many patients were excluded from this trial on the basis of imaging findings (ascites, severe phlegmon, abscess etc.), and there was a clear difference in treatment outcomes if the patient had an appendicolith. Based on these findings would you recommend that all patients with suspected appendicitis undergo CT scan for risk stratification for surgery vs antibiotics?