Medical Must-See: Think this is appendicitis? You might want to sleep on it

The cause of this patient's pain was tucked at the bottom of the differential diagnosis

ED doctors can diagnose appendicitis in their sleep. But this case of right lower-quadrant pain was not so cut and dried

The patient, a 45-year-old female, had been referred to ED by her primary care provider for evaluation of suspected appendicitis.

She presented with right lower-quadrant abdominal pain that had developed gradually over several months, becoming more noticeable in the past three weeks.

Describing it as an aching and bloating sensation, with no exacerbating or alleviating factors, she