Medical Question of the Day- 35

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A 2-year-old boy is brought to the emergency room by his mother. She tells you that her boy has been crying since she picked him up yesterday form the daycare.  She thinks that he has abdominal pain. He vomited twice and he didn’t want to eat breakfast. There is no history of fever, rashes or any prior illnesses. On examination, there is a diffuse abdominal tenderness.

Laboratory tests are significant for amylase of 1500 and lipase of 2500.

What is the most likely etiology of this boy’s condition?

A – Trauma

B-  Viral infection

C – Cystic fibrosis

D – Gallstones

E – Congenital annular pancreas

Answer



Abdominal trauma is the most common cause of pancreatitis in children. Daycare is a common place for blunt trauma to kids while playing and fighting with each other. Infection and cystic fibrosis would be accompanied with other symptoms as fever and prior other infections. Gallstones are the most common cause of pancreatitis in older patients. Congenital annular pancreas is a very rare anomaly and is commonly associated with other congenital anomalies such as Down syndrome and intestinal atresia.

The correct answer is A







43 thoughts on “Medical Question of the Day- 35”

  1. Thank you Dr Kona

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  20. Congenital annular pancreas

  21. Cystic fibrosis

  25. A trauma

  26. Cystic fibrosis

  27. congenital annular pancreas

  28. congenital annular pancreas

  29. Cystic fibrosis

  30. A- trauma

  31. A – Trauma

  32. Cystic fibrosis

  33. Congenital annular pancreas

  34. Congenital annular pancreas

  35. A – Trauma

  36. A – Trauma

  37. The Answer is E Congenital annular pancreas,
    Inflammation of the pancreas, commonly causes high levels of amylase and lipase in the bloodstream,

  38. Congenital annular pancreas

  39. Thank you Dr Sam

  40. Thank you Dr Bharath

  41. Congenital annular pancreas

  43. Cystic fibrosis

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