Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of left lower quadrant (LLQ) abdominal pain, constant in nature, associated with localized tenderness, low-grade fever, and altered bowel habits (constipation or diarrhea). Denies hematochezia, intractable vomiting, or signs of peritonitis. No prior history of similar episodes.
Clinical Examination Findings
Abdominal exam reveals localized tenderness in the LLQ without rebound tenderness, guarding, or rigidity. Bowel sounds are present but may be hypoactive. No palpable masses or organomegaly. Cardiovascular and respiratory exams are within normal limits. Hemodynamically stable.
Treatment Protocol
Initiate bowel rest or clear liquid diet. Start empiric antibiotic therapy (e.g., Ciprofloxacin/Metronidazole or Amoxicillin/Clavulanate) for 7-10 days. Analgesia with acetaminophen; avoid NSAIDs. Monitor for clinical improvement within 48-72 hours. Follow-up for repeat imaging or colonoscopy in 6-8 weeks post-resolution.