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An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000, but is otherwise normal. Serum electrolytes are normal. The next step is
Refer to surgery for evaluation for appendicitis.
Refer to gynecology for a pelvic exam.
Allow her to go home on clear fluids and reassess in the morning.
Initiate oral rehydration therapy and evaluate for symptom progression.