A 19-year-old man presents with a 2-day history of abdominal pain. The pain started in the central abdomen and has now become constant and has shifted to the right iliac fossa. The patient has vomited twice today and is off his food. His motions were loose today, but there was no associated rectal bleeding.
Examination On examination of his abdomen, he has localized tenderness and guarding in the right iliac fossa. Urinalysis is clear. Temperature :37.8°C PR : 110/min Hb : 14.2 g/dL Mean cell volume : 86 fL WCC : 19 × 10 9 /L Platelets : 250 × 10 9 /L Sodium : 136 mmol/L Potassium : 3.5 mmol/L Urea : 5.0 mmol/L Creatinine : 62 μmol/L CRP : 20 mg/L What is the most likely diagnosis? (Answer is posted in the comment section below!) *This case is from the Docplexus Editorial Team for educative purposes only.
