Acute abdominal pain in a 14 year old female

Question 1 of 6

You are completing an elective in Pediatric Emergency when you are asked to see a 14-year-old girl with a two day history of abdominal pain. She also reports a fever of 38°C, nausea beginning eight hours after pain onset, and has not had a bowel movement in four days. Her medical history is unremarkable. What is the differential diagnosis?

Bowel obstruction

Constipation

Appendicitis

Right lower lobe pneumonia

Pancreatitis

Cholecystitis

Pelvic inflammatory disease

Ectopic pregnancy

Ovarian torsion

Ovarian cyst

Mesenteric adenitis

Gastroenteritis

Urinary tract infection