There are no mouth lesions or palatal petechiae. Heart regular without murmurs. Abdomen is soft and somewhat obese. There is definite right lower quadrant tenderness with palpation. There is no rebound tenderness.
Bowel sounds are active.
He is unable to bear weight on the right leg. The left hip appears totally normal. His neurologic exam is unremarkable. Only the flat plate of the abdomen is shown here. Because of persistence of these physical findings, a CT scan of the abdomen is done with both oral and IV contrast administration.