1945: 15-year-old female reported abdominal pain that started this morning and has worsened. Her parents indicated that she had a temperature of 100° F (37.8° C) earlier in the day and that acetaminophen did not decrease the pain or temperature. She reports anorexia, nausea, and started vomiting two hours ago. The client describes her abdominal pain as a constant cramp in the right lower side. She states that her pain increases when she coughs and is relieved when she bends her right hip. The client has no medical history and takes no medication. She does report being sexually active with no birth control.

1945: Oral Temperature 102^o F (38.9^o C)

Pulse 88/minute

Respirations 18/minute

Blood pressure 121/72 mm Hg

Oxygen saturation 96% on room air

Abdominal Ultrasound: Perforated Appendix with free intraperitoneal fluid noted