GI Differential Diagnosis

A 25-year-old patient is being evaluated for pain in the region of the right oblique abdominis muscle that has been present for 1 week.  The patient describes the pain as deep and has progressively worsened in the last 3 days, with only mild relief felt when the patient bends over and tenses the abdominal muscles.  Which of the following signs or symptoms would MOST likely also be present?

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