A 24 Year Old Female Presents to the Emergency Room

A 24 year old female presents to the emergency room complaining of the following symptoms:
• Acute lower right quadrant abdominal pain rated at an 9 out of 10 on the pain scale (10 being the worst pain ever!) , that she characterizes as "burning and stabbing" in quality
• Feelings of nausea, dizziness and weakness.
• No difficulty breathing
As her physician, you notice that she exhibits the following signs:
• A very high fever (104ºF)
• High blood pressure (146/90)
• A rapid heart rate (110 beats per minute)
• Clear lung sounds- although her respiratory rate is rapid.
Which of the following choices is the most likely the correct diagnosis?

A) hypoglycemia (low blood sugar)
B) pulmonary embolus (blood clot in the lungs)
C) acute appendicitis
D) meningitis
E) pneumonia