A 7-year-old boy presents to the provider complaining of abd…
A 7-year-old boy presents to the provider complaining of abdominal pain and decreased appetite that started two days ago. Initially, the pain was periumbilical but in the last 24 hours it has become more localized in the right lower quadrant. The patient vomited once this morning, and he is more uncomfortable when walking or moving around. On exam, the patient is found to have a temperature of 101℉. Also, there is right lower quadrant tenderness, a positive Rovsing sign and rebound tenderness. Which of the following is the most likely diagnosis?