Presentation

Slight discomfort in right lower quadrant for 1 week. Acutely aggravated at day of presentation to emergency service together with chills and fever. Nausea but no vomiting. Muscular defense in right lower quadrant, but no deep tenderness at McBurney´s point. Pyrexia, elevated leukocyte count and C-reactive protein.

Patient Data

Age: 50ish
Gender: Female
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