Young person, early 20s, classic presentation of periumbilical pain, onset 3 days ago, localizing to RLQ today.
No fever. No white count. ESR not ordered. Abdominal CT with triple contrast negative. Pt. appears nontoxic.
Boy, I hope I never end up in your ER with the need of an abdominal CT! I'd probably leave AMA and go elsewhere if I was told I was getting triple hit like that! Swallowing that chalky crud is bad enough, adding in rectal?