It’s a bustling Saturday night and the patient in room 4 looks like a hot appy. As she near syncopized when you suggested rectal contrast, you’re now contemplating a non-contrasted CT scan (NCC) versus a long drink oral contrast scan (OCC). That NCC is mighty tempting. It would get her to the OR before the surgeon hits REM sleep and the bars close, and there is even that recent Annals meta-analysis that suggests its sensitivity is about 93% for appendicitis ...