SOLVED757

An 8-year-old female comes to the emergency room with her parents for evaluation of abdominal pain. The pain started a few hours ago and is located near the umbilicus. She also has multiple episodes of emesis and decreased appetite. Her last bowel movement yesterday afternoon was soft without any blood or mucus. She denies headaches, diarrhea, dysuria, and fevers. She had similar episodes once or twice over the last few months that resolved without intervention. She has no other significant past medical history. Family history is significant for migraines. On exam, the patient appears ill and pale. Her heart rate is 100 beats per minute, respiratory rate is 18 breaths per minute, and her blood pressure is 80 mm Hg over 65 mm Hg. She has diffuse abdominal tenderness without guarding or rebound. The remainder of her exam is normal. Lab results—including complete blood count (CBC), comprehensive metabolic panel (CMP), amylase, lipase, and CRP—are all within normal limits. Which of the following is the likely cause of this child’s pain? A. Irritable bowel syndrome (IBS) B. Acute pancreatitis C. Cyclic vomiting syndrome (CVS) D. Functional constipation
SCIENCE
HEALTH SCIENCE
NURSING

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