Case presentation A 15-year-old female with complaints of sharp and persistent epigastric pain, nausea, vomiting, coffee ground emesis, and decreased oral intake tolerance and urine output presented to the emergency department for the third time. Previous visits to the clinic Nine days earlier, she presented with nausea and vomiting. However, vomiting was resolved with promethazine treatment following a negative rapid strep test and urinalysis. One day earlier, she presented with similar symptoms and was given aluminum-magnesium hydroxide, lidocaine, sucralfate, omeprazole, and ondansetron.
Medical history Blunt injuries to the left chest, head, and left ankle in a motor vehicle accident one year earlier Clear lungs and pleural spaces were found in a chest X-ray. Physical examination Epigastric abdominal tenderness was present on palpation. Costovertebral angle tenderness – Negative…
