A 31-year-old patient is in the emergency department complai…

A 31-year-old patient is in the emergency department complaining of a fever and severe lower right quadrant abdominal pain that they rate as a 9 out of 10. The patient tells you that they have suffered from dull, generalized abdominal discomfort for approximately 7 hours and in the past hour the pain focused and intensified just below the beltline on their right side. The paramedic should suspect: