A 16-year-old nulligravid female presents to the emergency department with abdominal pain. She reports the pain started suddenly two hours prior to arrival and is associated with nausea and vomiting. The pain comes and goes, is located in the right lower quadrant, and is described as sharp and stabbing. She rates the pain as nine out of ten. She denies fever, chills, urinary symptoms, diarrhea, and constipation. She reports never having been sexually active. She has no past medical or surgical history. She is not taking any medications and she has no known drug allergies.