A 10-year-old girl presents with abdominal pain

A 10-year-old girl presents with abdominal pain of 24 hours’ duration. The pain began in the periumbilical area and now is in the right lower quadrant (RLQ). She had 1 bout of emesis but no diarrhea. She has no fever or chills. She also has some pain with voiding. On physical examination, she has a low-grade fever and tachycardia. She is lying still in bed. Her abdomen is nondistended, but she has tenderness to palpation in the RLQ. She also has rebound tenderness and guarding in this area. 1. What is the differential diagnosis for patients with acute abdominal pain? 2. What is the appropriate workup for children with suspected appendicitis?

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