Abdominal pain & fevers

25/y/o female with gradually worsening, generalized abdominal pain and tactile fevers for the past 2 days. The pain started in the right lower quadrant but has spread throughout her entire lower abdomen. She states the pain worsens with walking or sneezing. She denies vomiting, diarrhea, dysuria, or abnormal vaginal discharge. She mentions a history of a kidney stone and states that the pain feels similar. Vital signs are normal. Physical examination reveals bilateral mild lower abdominal tenderness that is slightly more severe on the right. No costovertebral angle tenderness is present. Complete blood cell count reveals a leukocyte count of 19,000/mL. Basic metabolic panel is normal except for a sodium level of 132 mEq/L. Urinalysis reveals a red blood cell count of 25 x 106/µL.

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Raddish, for stones, alkaline diet,lime juice, to eat skin of lime to clean stomach cold pressed coconut oil massage and in naval, beetroot, coriander juice for kidney detox
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It can be due to probable infection in appendix, ovary, ureter, etc. The last line of case says urinalysis reveals RBC count 25 x 106. USG Abdomen and pelvis?
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Adv USG abdomen and pelvis...may be ureter stones..???
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Give medicine based on presenting totality
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Pelvic inflammatory disease (PID)
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According me ??appendix
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May be Appendicitis
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Appendicitis??
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?Appendicitis
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Appendicitis
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