83
98
15
36.6
120/73

A 13 year old boy presents to the clinic with vomiting a lot for 5 hours.  He has vomited 2 times, it is clear in colour and not projectile. He does not have any reported abdominal pain. He has voided 3 times today and has had one normal bowel movement. Earlier this morning he was playing volleyball and was struck by another player. There was brief loss of consciousness. He sustained no obvious injuries.

Physical Examination: He looks pale.  Abdomen is soft. On auscultation, bowel sounds are normal. On palpation it is non-tender and there are no masses or organomegaly. The remainder of the physical examination is normal.

What is the most likely diagnosis?

Register Now

Register and get your content customized to you.

Authors

Dr. Karen Forbes

Dr. Karen Grewal

grewalk@kgh.kari.net

Queen's University

Reviewers

Dr. Susan Bannister

Susan.Bannister@ahs.ca

Dr. Marc Zucker

Zucker@cheo.on.ca