Tag Archive: abdominal pain

A 14-year-old boy has sickle cell disease. He presents to the emergency room with the complaints of increased jaundice, abdominal pain, nausea, vomiting, and fever. His examination is remarkable for jaundice, pain of the right upper quadrant with guarding, and a clear chest. Chest radiographs appear normal. Which of the following tests is most likely to reveal the cause of this pain?

a. Serum chemistries

b. Complete blood count with platelets and differential

c. Ultrasound of the right upper quadrant

d. Upper GI series

e. Tracheoesophageal fistula

the answer is below…

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During a routine well-child examination a 10-year-old girl reports that she has occasional headache, “racing heart,” abdominal pain, and dizziness. Her mother states that she has witnessed one of the episodes, which occurred during an outing at the mall, and reported the child to be pale and to have sweating as well. Other than some hypertension, she has a normal physical examination. Evaluation of this child is most likely to result in which of the following diagnoses?

a. Hysterical fainting spells

b. Pregnancy

c. Diabetes mellitus

d. Pheochromocytoma

e. Migraine headache

the answer is below…
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