CASE OF THE WEEK: Read the case, and if you think you know what is wrong with the patient, email your answer to radiorounds@gmail.com . The winner will receive a prize from Radio Rounds!

A 13-year-old male athlete describes 3 weeks of epigastric pain, radiating into the left flank that is associated with nausea and vomiting. Symptoms increase with eating. He is very active with wrestling and football. These symptoms occurred several days following a viral illness which subsided over a two day period. During this time, he additionally recalls running into bleachers during a wrestling workout. This pain has increased steadily over the past two weeks. There is a family history of gallstones and pancreatitis.  The physical exam revealed normal vital signs including a normal temperature. The abdominal exam was remarkable for epigastric pain on deep palpation, some guarding, but without rebound tenderness. Laboratory evaluation demonstrated an  elevation in lipase and amylase.











THOUGHTS: Check out the website for Playing for Change and be sure to watch their video, the music of which we featured on this week's show:

http://vimeo.com/moogaloop.swf?clip_id=2539741

http://www.playingforchange.org/

Also, be sure to check out the Eddie Brookshire band's "Edge of the River," arranged by our own Dr. Onady, who wrote this week's tricky case!

CASE OF THE WEEK: Read the case, and if you think you know what is wrong with the patient, email your answer to radiorounds@gmail.com . The winner will receive a prize from Radio Rounds!

A 13-year-old male athlete describes 3 weeks of epigastric pain, radiating into the left flank that is associated with nausea and vomiting. Symptoms increase with eating. He is very active with wrestling and football. These symptoms occurred several days following a viral illness which subsided over a two day period. During this time, he additionally recalls running into bleachers during a wrestling workout. This pain has increased steadily over the past two weeks. There is a family history of gallstones and pancreatitis.  The physical exam revealed normal vital signs including a normal temperature. The abdominal exam was remarkable for epigastric pain on deep palpation, some guarding, but without rebound tenderness. Laboratory evaluation demonstrated an  elevation in lipase and amylase.











THOUGHTS: Check out the website for Playing for Change and be sure to watch their video, the music of which we featured on this week's show:

http://vimeo.com/moogaloop.swf?clip_id=2539741

http://www.playingforchange.org/

Also, be sure to check out the Eddie Brookshire band's "Edge of the River," arranged by our own Dr. Onady, who wrote this week's tricky case!