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Question 1. 5-year-old child admitted with epigastric pain, vomitingPE: tender epigastrium, no peritoneal signsAmylase is 400 U/L, lipase is 670 U/LAbdominal ultrasonography: prominent pancreatic head, no gallstones or biliary tract dilationReview of her chart demonstrates two prior hospitalizat
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1. GI Board Review!
2. Question 1 5-year-old child admitted with epigastric pain, vomiting
PE: tender epigastrium, no peritoneal signs
Amylase is 400 U/L, lipase is 670 U/L
Abdominal ultrasonography: prominent pancreatic head, no gallstones or biliary tract dilation
Review of her chart demonstrates two prior hospitalizations over the past 3 years due to pancreatitis
She has no other significant findings in her medical history and no history of trauma preceding any of these episodes.
3. Of the following, the condition that BEST explains the patient's history is: A. alpha-1-antitrypsin deficiency
B. colipase deficiency
C. hereditary pancreatitis
D. primary sclerosing cholangitis
E. systemic lupus erythematosus