You are called to a residence for a 48-year-old male patient.He is lying in bed and is incoherent.He is unable to follow commands.His blood pressure is 80/40,pulse 136,and respiratory rate of 36.His wife states that he had lower right abdominal pain for about two days and it progressively worsened.He said about an hour ago he had a sudden increase in pain and then became incoherent.The wife states the husband refused to see a doctor before,but she finally called 911.You suspect:

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The patient's symptoms are consistent with peritonitis, which is inflammation of the peritoneum, the thin tissue that lines the inner wall of the abdomen and covers most of the abdominal organs. The lower right abdominal pain and sudden increase in pain are suggestive of a ruptured appendix. The patient's low blood pressure and high pulse rate may be due to sepsis caused by the spread of infection from the inflamed appendix. The respiratory rate is also elevated, which may indicate respiratory distress. The patient needs immediate medical attention and may require surgical intervention to remove the infected appendix.

You Are Called to a Residence for a 48-Year-Old Male