A 10-Year-Old Boy Is Brought to the Emergency Department Due

question 540

Multiple Choice

A 10-year-old boy is brought to the emergency department due to postprandial abdominal pain and bilious emesis.  He has never had similar symptoms and has no other medical conditions.  Two days ago, the patient stopped his bicycle abruptly and slammed into the handlebar.  He immediately experienced abdominal pain, which improved over the next several hours.  Vital signs are normal.  Physical examination shows epigastric tenderness without rigidity or rebound tenderness.  Bowel sounds are normal.  Bedside ultrasonography reveals no intraperitoneal free fluid.  Plain abdominal radiograph shows gastric dilation with scant distal gas.  Laboratory results are as follows: Which of the following is the most likely diagnosis?

• A)Duodenal hematoma
• B)Liver laceration
• C)Pancreatic pseudocyst
• D)Pyloric stenosis
• E)Small-bowel perforation

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Definitions:

Negative Outcomes

Unfavorable or adverse results from actions, decisions, or situations.

Association Power

The influence or authority an entity or individual gains through forming networks or alliances with others.

Reciprocity

A social norm where a positive action leads to another positive action, fostering mutual exchange and cooperation among individuals.

Conscientious Employees

Employees who are diligent, responsible, and reliable in their work, often exceeding job expectations.