13. Your patient is a 7 year old male who presents with RLQ pain that has been present for the last 4 hours. His abdominal exam exhibits voluntary guarding in the RLQ. His testicle exam is normal. His vitals are BP-112/68, P-114, RR-22, Temp 99.4. His WBC 12.4, Hgb-12. 5, HCT-37.1. His urine reveals 2-4 WBC, and no bacteria, no RBC. His CT scan of his Abdomen and Pelvs was read per radiology as normal. Given the above data, which of the following is the best management option?
A. Discharge the patient home with a script for Bactrim and have the patient follow up with his doctor in 2 days
B. Consult general surgery and admit the patient to the hospital for observation
C. Order a testicular ultrasound
D. Oder a fleets enema, it is not unusual for children in this age group to have voluntary guarding when they are constipated.
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