Lorabelle Leigh, 26 years old and married, comes to the ER c…
Lorabelle Leigh, 26 years old and married, comes to the ER complaining of pain in her belly for three days . States that the pain started as a dull ache, but is now so bad she can hardly stand it . Mrs. Leigh tells you that the pain started in the middle of her abdomen below the umbilicus, but now has localized to the right lower quadrant. Her appetite is poor and eating has no effect on her pain. States she started with a low grade fever yesterday. Her last period was four and a half weeks ago. She has no vaginal or rectal bleeding or discharge.Based on the above information, what are your TOP differential diagnoses? (i.e. are likely, based on the history, and must be assessed and ruled in or out)