-Vitals notable for tachcyardia. Overall appears in pain but non-toxic

-Patient presents with lower abdominal pain and moderate tenderness with guarding consistent with a surgical process.

-Labs notable for leukocytosis. CT is concerning for acute appendicitis. Clinical picture fits appendicitis as well.

-Antibiotics and cultures ordered. Pain and nausea controlled.

-Discussed with surgeon who recommends admission for prompt surgical intervention

-These findings and the plan were discussed at length with the patient and they agreed with the plan