85. A 30 year old male is admitted to the hospital with abdominal pain. He

85. A 30 year old male is admitted to the hospital with abdominal pain. He reports steady, aching pain that began suddenly. He reports a decreased appetite with nausea but no vomiting. The abdominal findings are as follows: The abdomen is flat firm and rigid with increased tenderness and guarding in the RLQ. No bowel sounds heard. No bowel sounds present. liver percusses to 7 cm to midclavicular line, edge not felt. Spleen and kidneys not felt. No palpable masses. No CVA tenderness. psoas sign positive. Blumberg sign positive. Which of the following is the most accurate interpretation of these findings? A. Acute diverticulitis B. B. Acute cholecystitis C. C. Acute peritonitis D. Bowel obstruction E. Acute pancreatitis

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