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Constant with nausea and vomiting

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A 55-year-old female presents with right lower abdominal pain 8/10, starting several hours ago, an constant with nausea and vomiting. Her HR is 123 bpm, with a BP of 92/61. Her temperature is 39.2 C, (102.5F). Physical exam reveals a distended abdomen, tensely rigid, hyper resonance percussion. What is the most likely diagnosis?

Reference no: EM134036394

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