A healthy-appearing 13-year-old boy presented with the chief complaints of abdominal pain, nausea, and vomiting of 2 weeks' duration. His emesis was nonbilious and nonbloody. The vomiting was not associated with eating and occurred once to twice daily. His abdominal pain was mid-epigastric and was described as "deep" in nature. He has had no diarrhea, weight loss, or fever. There were no other symptoms present.
The patient's medical history was significant for mild intermittent asthma and 1 prior episode of vomiting and abdominal pain 2 years ago that resolved with conservative management. His maintenance medications included montelukast, cetirizine, and albuterol. He has always had an excellent appetite and normal growth and development. There was no history of surgery or hospitalization. His family history was significant for cholecystectomy (his mother). There was no family history…
