Mrs. Maroldo is an 81-year-old female who presents for evaluation of pain in her left lower quadrant. She has had

this pain before and says she usually takes antibiotics and it goes away. However, this time it seems worse, and she has had it for 4 days even though she says she started taking her leftover antibiotics from the last episode. She denies any nausea or vomiting but says she simply isn’t hungry. She had a little diarrhea yesterday but no bowel movements today. She has a temperature of 100.9°F and a pulse of 104 bpm, respirations of 20 breaths per minute, and a blood pressure of 94/60 mm Hg. She has some discomfort to deep palpation in the left lower quadrant. The AGACNP suspects:

A. Irritable bowel syndrome

B. Inflammatory bowel disease

C. Diverticulitis

D. Appendicitis

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