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Question
jeremy is an 18 y/o male who comes to the clinic with a chief complaint of periumbilical pain. over the past 24 hours he has had bouts of nausea and diarrhea and pain at mcburney’s point. the np diagnoses him as having:
acute cholecystitis
acute diverticulitis
acute appendicitis
acute pancreatitis
Periumbilical pain that migrates to McBurney's point (right lower quadrant), along with nausea and diarrhea, are classic symptoms of acute appendicitis. Acute cholecystitis typically presents with right - upper quadrant pain. Acute diverticulitis usually has left - lower quadrant pain. Acute pancreatitis is associated with epigastric pain often radiating to the back.
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Acute Appendicitis