Medical Question of the Day- 35

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


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

  2. Thank you Dr Warsame

  3. Thank you Dr Navnath

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  6. Thank you Dr David

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  13. Thank you Dr Emad

  14. Thank you Dr Memuna

  15. Thank you Dr Abdul Samad

  16. Thank you Dr Mohammad

  17. Thank you Dr Gurmani

  18. Congenital annular pancreas

  19. Cystic fibrosis

  20. A trauma

  21. Cystic fibrosis

  22. congenital annular pancreas

  23. congenital annular pancreas

  24. Cystic fibrosis

  25. A- trauma

  26. A – Trauma

  27. Cystic fibrosis

  28. Congenital annular pancreas

  29. Congenital annular pancreas

  30. A – Trauma

  31. A – Trauma

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

  33. Congenital annular pancreas

  34. Thank you Dr Sam

  35. Thank you Dr Bharath

  36. Congenital annular pancreas

  37. Cystic fibrosis

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