A 55-year-old woman presents to the emergency department with a 2-day history of left lower quadrant abdominal pain, fever, and constipation. She denies nausea, vomiting, or diarrhea. Her temperature is 38.5°C (101.3°F), heart rate 98 bpm, blood pressure 130/80 mmHg. Physical examination reveals tenderness in the left lower quadrant without rebound or guarding. Labs show leukocytosis. A CT scan of the abdomen and pelvis confirms uncomplicated acute diverticulitis. What is the most appropriate initial management?
✓ Correct Answer: Option B
Uncomplicated diverticulitis, especially in stable patients without signs of peritonitis or severe sepsis, can often be managed with outpatient oral antibiotics and a clear liquid diet. Inpatient treatment is for complicated cases or those failing outpatient therapy.