Yesterday I had a student visit me. Not a usual visitor, presenting with right upper abdominal pain, slight nausea, no appetite. Temp was normal, student told me pain was "stab-like" and started about 12 hours prior. No rebound pain, but increased pain with palpation. A red flag went up for me and called student's Mom to pick student up and make an doctor's appointment today and that I really thought the student needed to be seen today. Something just said appendix to me, despite the lack of rebound pain and low grade fever. And I was right! Student having surgery this morning. Now, I know it isn't our job to diagnosis, but I am so happy I made this referral. Mom was as well and offered to buy me a drink - ha!