A 22-year-old male presents with periumbilical pain that has migrated to the right iliac fossa over 12 hours, with nausea and fever (38.2°C). What is the most likely diagnosis?

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A. Acute appendicitis. The classic presentation of acute appendicitis includes periumbilical pain migrating to McBurney's point (RIF) within 12-24 hours, accompanied by nausea, vomiting, and low-grade fever. The pain migration occurs because the initial visceral pain (periumbilical) transitions to somatic pain (RIF) as the inflammation progresses to involve the parietal peritoneum.

Answer

B. Mesenteric lymphadenitis

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C. Meckel's diverticulitis

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D. Crohn's disease

A 22-year-old male presents with periumbilical pain that has migrated to the right iliac fossa over 12 hours, with nausea and fever (38.2°C). What is the most likely diagnosis?

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A 22-year-old male presents with periumbilical pain that has migrated to the right iliac fossa over 12 hours, with nausea and fever (38.2°C). What is the most likely diagnosis?

Explanation

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