Stomach Pain, Fever, Chills Leads Man to the ER – Let’s Diagnose

A 64-year-old man recently diagnosed with liver cirrhosis went to the ED with diffuse abdominal pain and a fever and chills. His wife was concerned about his altered mental status. Upon examination, the doctor noted abdominal distension with rebound tenderness and guarding.

Could it be acute appendicitisDiverticulitisAcute pancreatitisPeritonitis?

Check out our differential in VisualDx.

The correct answer is…

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