A 25 years old man returns home after playing cricket, and starts complaining of pain in the mid-abdomen without history of any injury. The pain remains unremitting for the next few hours; instead it becomes more severe and gets localised to the lower right quadrant. He also develops nausea and vomiting but no diarrhea. Over the next 24 hours, he remains sick and keeps rolling in bed with severe pain and is brought to the hospital emergency.
On examination, his body temperature is 102 degree Fahrenheit and appears ill. His abdomen is mildly distended and diffusely tender on palpation, especially in the right lower quadrant.
Discuss the clinical correlation with pathogenesis of the features
What is the probable diagnosis?
How will you investigate and confirm the diagnosis?
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