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Case Study 4: Acute Appendicitis vs. Acute CholecystitisScenario:%u2022A 25-year-old man presents with abdominal pain that started around his navel and moved to the right lower quadrant. He reports nausea, loss of appetite, and a low-grade fever. On examination, there's tenderness at McBurney's point and a positive Rovsing's sign.Clincher:%u2022 This patient's presentation is consistent with acute appendicitis rather than acute cholecystitis.Rationale:%u2022Age group (25 years) is more typical for appendicitis%u2022Migration of pain from periumbilical to right lower quadrant is characteristic of appendicitis%u2022 Tenderness at McBurney's point and positive Rovsing's sign are specific for appendicitis%u2022Absence of right upper quadrant pain or history of gallstones makes cholecystitis less likelyManagement:%u2022CT scan or ultrasound for confirmation, followed by appendectomy.