If you are presented on the Board exam with the famous presentation of a young teenager in the emergency room complaining of right lower quadrant pain, 100.5 fever and nausea, borderline peritoneal irritation signs on physical exam in the right lower quadrant and inconclusive pelvic ultrasound, what would you do?  You ask about the CBC, U/A and pregnancy test and you will be told everything is negative except for WBC elevation (16,500 with slight shift to the left). What would you do?

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