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EasyGastrointestinalAcute appendicitisuk-plab-1

A 23-year-old man presents with 12 hours of abdominal pain that started centrally and has migrated to the right iliac fossa. He has anorexia, low-grade fever and marked tenderness with rebound in the right iliac fossa. Urine dipstick is normal. What is the most likely diagnosis?

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