113
98
14
36.0
127/77

A 34 year old male presents to your rural emergency department with 72 hours of progressive abdominal pain. The pain initially began as epigastric pain but has moved to the right lower quadrant over the last 12 hours, along with nausea and vomiting. There is no diarrhea, dysuria or flank pain. The patient has not had prior abdominal surgeries, and past medical history is unremarkable. The patient is partially curled up on the table. The abdomen is rigid without any organomegaly. Point of maximal tenderness is in the right lower quadrant. 

Which of the following is the most likely diagnosis?

Register Now

Register and get your content customized to you.

Authors

Dr. Trevor Luk

tynluk@ucalgary.ca

Dr. David Keegan

dkeegan@ucalgary.ca

Reviewer

mariahubinette

maria.hubinette@ubc.ca