A 51-year-old male presents to your office with left lower abdominal pain, diarrhea, nausea, and vomiting. He states that he has a decreased appetite along with a low-grade fever and chills.

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A 51-year-old male presents to your office with left lower abdominal pain, diarrhea, nausea, and vomiting. He states that he has a decreased appetite along with a low-grade fever and chills. His past medical history includes a diagnosis of hypertension and obesity. He is a smoker. Upon arrival, his vital signs are normal aside from a pulse of 102 and a temperature of 100.0. On exam you note the patient is visibly uncomfortable. When you exam his abdomen, you note tenderness and guarding to the left lower quadrant.

Question 1
What is your diagnosis?

  1. Diverticulitis
  2. Cholelithiasis
  3. Appendicitis
  4. Pancreatitis

Question 2
What is your next course of action?

Question 3
What is your treatment plan?

Question 4
What potential complications are you concerned about?

 
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