Treatment. Intravenous antibiotics that cover gram-negative aerobes and anaerobes are suggested in clients with severe appendicitis and really should get peri-operatively in talk to the doctor. 53,54 Early discomfort medication ought to be given. If suspicion of appendicitis is high in line with the history and real assessment alone, then an instantaneous medical consult should always be acquired. If suspicion is low or moderate, the workup ought to include a CT scan or an ultrasound, serial stomach exams, and a surgery consult. 40 clients whose discomfort resolves into the ED, and who possess a workup that is negative other notable causes, are discharged, to go back for a recheck in 8-12 hours.