my 56 y/o white male husband is c/o lower abdominal pain, sharp ( has no appendix and no gall bladder) started today, with low grade temp treated with acetaminophen and temp is now down. c/o feeling like he needs to have a bm but is going regularly and is not constipated. also stiff joints, increased fatigue with over 8hrs a night of sleep. has recently been treated for uri with sinus infection with amoxicillin and an 8 day prevpak dosing pack that finished 1 week ago. he states area feels like a pulled muscle . I palpated entire lower abdomen to pelvic region and found no lumps, or any areas of concern. testicles normal size and shape and not tender to touch or palpation. no n/v/d/c verbalized by pt.