You Are Called to a Residence for a 48-Year-Old Male

Multiple Choice

You are called to a residence for a 48-year-old male patient.He is lying in bed and is incoherent.He is unable to follow commands.His blood pressure is 80/40,pulse 136,and respiratory rate of 36.His wife states that he had lower right abdominal pain for about two days and it progressively worsened.He said about an hour ago he had a sudden increase in pain and then became incoherent.The wife states the husband refused to see a doctor before,but she finally called 911.You suspect:

A) appendicitis.
B) splenic rupture.
C) renal colic.
D) peritonitis.