[My fathers brother died of this in the E.R. waiting room probably around the late 1930's or 40s] He may have been in his second decade of life. I'm never going to miss this one!! And Im going to approach it in a very Oslerian/Halstead type manner!! Ill start, of course: 1)Pain starting at the epigastrium eventually getting to McBurneys Point.. 2)Fever and only slight WBC elevation 3) Most likely patient will look sick! 4) If he or she wants to eat its not suppose to be appendicitis!! 5)Also Psoas,Obturator and Rosvings signs.. Just to add some levity and briefly. PID, ovarian torsion and mesenteric adenitis could be in the DD. Thank you in advance. Please add any other signs or symptoms that may aid iin this DX..