Kara Kara Hendricks at 37 year old female is an established patient who presents to the office with right lower quadrant abdominal pain with fever the patient states she has had the pain for 3 days she has taken Tylenol for her fever with some relief the patient does have occasional diarrhea and headaches she smokes approximately 5 to 10 cigarettes a day and drink socially The Physician performed a detailed examination the medical decision-making is noted to be of a moderate