Surgery

Last updated on: June 5th, 2021

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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Intrinsic

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A 12 year old boy presents with non projectile bilious vomiting, abdominal distension and colicky epigastric pain for 2 days. There is no history of constipation, fever or jaundice.


He gives a longstanding history of similar but much milder episodes after large meals, none of which required hospital admission. He also suffers from intermittent dyspeptic symptoms.


His medical history is otherwise unremarkable and his full blood count is normal.


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