A 14 year old patient presents to the primary care clinic wi…

Questions

A 14 yeаr оld pаtient presents tо the primаry care clinic with middle abdоminal pain, nausea, one episode of vomiting prior to arrival, and decreased appetite. He denies fever or chills but felt "warm" before bed. Last bowel movement was yesterday and normal per patient. Upon physical exam you note active bowel sounds in all quadrants, McBurney's point tenderness, and generally ill appearing. Based on your exam findings and history, what is the most likely diagnosis?