An urgent care nurse practitioner is assessing a 45-year-old White woman with a BMI of 32 for complaints of intermittent right upper quadrant abdominal pain over the past few weeks that is precipitated by eating fried foods and peanut butter. On exam, the patient's heart and lungs are normal. There is no pain over the costovertebral angle. During abdominal exam, the bowel sounds are present in all quadrants. While palpating deeply on the right upper quadrant during deep inspiration, the patient complains of severe sharp pain to the nurse practitioner.

Which of the following is best described?

A) Acute cholecystitis
B) Acute appendicitis
C) Acute gastroenteritis
D) Acute diverticulitis