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Case: A 35-year-old newlywed woman enters the emergency department with acute abdominal pain and a fever of 101.8º F. Her abdomen is distended, and she has not had a bowel movement today, even though she is usually regular. The abdominal pain is diffuse and on the right side. She has no rebound tenderness and has no pain at McBurney's point. Her WBC is 15,000/mm3.
Questions:
1. What problems other than appendicitis might she be experiencing?
2. What other assessments should be made?
3. What type of renal problem might she be experiencing?
4. What follow-up is needed?
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