A 16-year-old girl presented to the emergency department (ED) with complaints of severe abdominal pain . She stated that the pain started immediately after a " bear hug from a friend ”, a couple of hours before arriving at the ED. She described the pain as sharp , constant , and most intense in the right upper quadrant , which subsequently spread to her right shoulder . The patient had two dogs in her house.
Medical history Mild a bdominal discomfort and a feeling of abdominal fullness for the past several months A diffuse, itchy rash appeared around the same time as the onset of abdominal discomfort. However, the patient did not seek any medical attention for the above conditions in the past two weeks, except self-medication with acetaminophen. No history of food allergy, fevers, nausea, or abnormal bowel movements No reference of consumption of any ‘new’ food before the onset of this…
