Which findings raise suspicion for appendicitis in a child?

• A. Left upper quadrant pain with cough.
• B. Diffuse abdominal tenderness without migration.
• C. Diarrhea and dehydration with no fever.
• D. Periumbilical pain migrating to the right lower quadrant, fever, anorexia, guarding, and leukocytosis.

Answer: (D)