A 22 year old female presents to the emergency department wi…
A 22 year old female presents to the emergency department with complaints of abdominal pain that started yesterday. She reports that pain started in the center of her abdomen and has now moved to her right lower quadrant. Last bowel movement yesterday. Reports she is sexually active with one partner. Denies smoking or drug use. Vitals: Temp 100.2F, Pulse 104, BP 110/68, RR 22, O2 98% on room air. Labs: WBC 14K, RBC 4.58K, H&H 13.1 & 39.2, Plt 224K. Na+ 145, K+ 3.6, BUN 15, Cr 0.6, Ca+ 9.2, glucose 97. On exam you note tenderness at McBurney’s point and a positive Psoas sign. You order an abdominal/pelvis CT with contrast, because you are concerned for which condition?