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Review Question - QID 213736

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QID 213736 (Type "213736" in App Search)
A 24-year-old woman presents to the emergency department for evaluation of abdominal pain. Her pain started the night prior and was initially located around the umbilicus. Today the pain was most intense in the right lower quadrant. She now has nausea and vomiting that began this morning. She has no significant medical history and takes no medications. The patient's temperature is 101.3°F (38.5°C), blood pressure is 109/70 mmHg, pulse is 88/min, and respirations are 15/min. On physical examination, there is tenderness at the right lower quadrant with guarding. Which of the following is the most appropriate next step in management?