The emergency department nurse is assessing a client presenting with right lower quadrant pain, low-grade fever, nausea, vomiting and anorexia. The client explains to the nurse that the abdominal pain was dull at first and in the middle of the abdomen but is now sharp and midway between the client’s right hip and umbilicus. Physical exam reveals abdominal muscle guarding and rebound tenderness. Which of the following conditions would the nurse suspect?
Hepatitis
Appendicitis
Cholecystitis
Nephrolithiasis