Instruction
1. An 8-year-old male presents to the emergency room with his mother complaining of fever, sudden onset right lower quadrant abdominal pain, nausea, and vomiting for the past 24 hours. On physical examination, the patient is moderately toxic appearing and has significant severe tenderness to McBurney's point with radiation to the periumbilical region. The patient's vital signs are as noted: temperature 38.4 C, heart rate 151 bpm, and respiratory rate 36 breaths/min. Lab results are significant for a leukocytosis of 18,400/mm3. Discuss the patient's etiology including possible histologic findings. What would be your next steps for this patient as his attending emergency room physician?