Questions: Case #3: Appendix Aggravation Steve was a 21-year-old male college student who complained of pain, nausea with vomiting, and tenderness in the right lower quadrant. The pain was first vague and diffuse, then became more severe in the midepigastric region before localizing in the right lower quadrant. The pain was accentuated by movement, deep respiration, coughing, and sneezing. A mild fever of 102.2°F and a moderate leukocytosis (11,500 / mm^3) were present. A marked tenderness was noted over the right lower quadrant at McBurney's point (one-third the distance between the anterior superior iliac spine and the umbilicus). The psoas sign (pain on passive hyperextension of the thigh) was also present. His vitals were as follows: - Temperature: 102.2°F Pulse: 96 bpm - BP: 140 / 90 Respiration: 18 bpm and shallow His abdomen was protuberant with decreased bowel sounds. The abdominal x-ray indicated distended bowel loops. Respond to each of the following: 11. What is the diagnosis of this individual? Appendicitis 12. Describe in anatomical terms the location of the organ involved.

Transcript text: Case \#3: Appendix Aggravation Steve was a 21-year-old male college student who complained of pain, nausea with vomiting, and tenderness in the right lower quadrant. The pain was first vague and diffuse, then became more severe in the midepigastric region before localizing in the right lower quadrant. The pain was accentuated by movement, deep respiration, coughing, and sneezing. A mild fever of $102.2^{\circ} \mathrm{F}$ and a moderate leukocytosis $\left(11,500 / \mathrm{mm}^{3}\right)$ were present. A marked tenderness was noted over the right lower quadrant at McBurney's point (one-third the distance between the anterior superior iliac spine and the umbilicus). The psoas sign (pain on passive hyperextension of the thigh) was also present. His vitals were as follows: \[ \begin{array}{l} \text { Temperature: } 102.2^{\circ} \mathrm{F} \quad \text { Pulse: } 96 \mathrm{bpm} \\ \text { BP: } 140 / 90 \quad \text { Respiration: } 18 \mathrm{bpm} \text { and shallow } \end{array} \] His abdomen was protuberant with decreased bowel sounds. The abdominal x-ray indicated distended bowel loops. Respond to each of the following: (use your notes and other course materials, as well as internet resources, to help you respond in a thoughtful and thorough manner) 11. What is the diagnosis of this individual? Appendicitis 12. Describe in anatomical terms the location of the organ involved.