why referred pain is important?

A 3 yo boy is brought to emergency with lethargy for the past 5 hrs. His mother reports that he has been intermittently unresponsive, interspersed with periods of being awake and behaving normally, except that he is unwilling to eat. His abdominal ultrasound is shown below. Q1-What is the most likely diagnosis? A. Meckel diverticulum B. Intussusception C. Acute appendicitis D. Volvulus Q2-What is the commonest location of this pathology? A. Colocolic B. Ileoileal C. Cecocolic D. Ileocolic Q3. Which of the following is the modality of choice for assessment of the most likely diagnosis in adults? A. CT scan B. Plain radiograph C. Fluoroscopy D. Ultrasound

A 14yr old boy presented to the emergency department with a 24 hr history of increase abdominal pain. The pain localized to the right iliac fossa and a diagnosis of acute appendicitis was made.At operation the appendix was found to be normal and the anomaly shown..was found to be loop of bowel.diagnose?

45/Female with Severe pain abdomen. on examination severe pain in RIF WITH REBOUND TENDER, Vomiting (+) WBC: 27000 ATTACHED CT ABDOMEN

A 14 year old male presented with history of pain right side lower abdomen for one month. Pain was initially associated with vomiting. History of hospitalization for about week, three days after the onset of pain. About a week after discharge from hospital he developed severe pain with fever. Patient was again admitted and put on conservative line of treatment. The recent pictures are attached. What is the diagnosis and what should be the plan for management

A 34 year youg lady presented with sever pain in rif since 2to 3days with fever and vomiting she has tenderness and garding in rif lookiing to the organ give your diagnosis and rx which surgery is ideal or prefferable