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An 85-year-old male presents with 36 hours of RIF pain, fever and anorexia. He has a pulse of 100 bpm, BP 110/80 mmHg, respiratory rate 18/min, SAO2 95%, temperature 39oC. On examination he has tenderness and a mass in the right side of the abdomen.
Rank the following diagnoses in order of likelihood (1 = most likely, 5 = least likely).
Appendix mass
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Diverticular abscess
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Caecal carcinoma with obstruction
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Caecal volvulus
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Acute cholecystitis
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Which of the following are appropriate investigations for the patient?
CT scan shows an appendix abscess. Which of the following treatments should be initially employed?