Acute appendicitis typically presents with pain that:

A) Starts in the left lower quadrant

B) Begins periumbilically then migrates to the right lower quadrant (McBurney point)

C) Is always in the back

D) Occurs only at night

Explanation

Classic appendicitis: visceral pain (periumbilical) → somatic pain (RLQ at McBurney point as parietal peritoneum becomes inflamed). Anorexia, nausea, low-grade fever. CT for diagnosis, surgery for treatment.

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