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EasyGastrointestinalAcute appendicitisuk-plab-1

A 28-year-old woman presents with right iliac fossa pain, nausea and low-grade fever. Her pain started peri-umbilically 12 hours ago and migrated. On examination there is localised tenderness and guarding in the right iliac fossa. Pregnancy test is negative. What is the most likely diagnosis?

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