My daughter presented to the Er 2 days ago with severe vomiting , diarrhea and abdominal pain. Was sent home after being given zofran and IV. Returned to er few hours later with same symptoms, and was diagnosed 14 hours later with appendicitis through a cat scanned vey inflamed appendix. Fever 101 .3. Pulse 118 bp under 100, we had to push and insist for her to have her surgery performed within 10 hours of diagnosis versus 16 hours. So she had fever, was in pain for 10 hours sgter diagnosed, had laparoscopic surgery, all went well, any thing to look for du to the delay of surgery post symptoms30 hours and diagnosis 10 hrs