What is the likely diagnosis for a 17-year-old male presenting with periumbilical pain that localizes to the right loin, nausea, vomiting, and dysuria?
Understand the Problem
The question is asking about the likely diagnosis for a 17-year-old male presenting with specific symptoms including periumbilical pain that localizes to the right loin, nausea, vomiting, dysuria, and an inability to sit still due to severe pain. The options provided suggest potential diagnoses related to abdominal and urinary tract conditions.
Answer
Appendicitis
The likely diagnosis is appendicitis.
Answer for screen readers
The likely diagnosis is appendicitis.
More Information
Appendicitis typically starts with generalized periumbilical pain that later localizes to the right lower quadrant. Nausea, vomiting, and sometimes dysuria can also be associated symptoms. Early recognition and treatment are crucial to prevent complications like perforation.
Tips
A common mistake is to overlook the classic migration of pain from the periumbilical region to the right lower quadrant. Always consider appendicitis if symptoms match, even if initial signs are atypical.
Sources
- Appendicitis Differential Diagnoses - Medscape Reference - emedicine.medscape.com
- PMC Article on Appendicitis - pmc.ncbi.nlm.nih.gov
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