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David Seiden

and Siobhan A. Corbett

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date: 25 October 2020

Case 31 introduces a 22-year-old male university student and collegiate athlete in excellent health with a 24-hour history of abdominal pain. He states that he awoke the previous night with a severe attack of “indigestion,” which he described as a dull, crampy pain around the umbilicus. He felt mildly nauseated but did not vomit. In the morning, he felt hot and uncomfortable and decided to stay in bed. He had no appetite, and the nausea persisted. By evening, the pain had moved to the right lower quadrant of his abdomen. He reports that the pain is now sharp and constant. It has increased in severity from 4 to 9 on a scale of 10, with 10 being the worst level of pain. Th e pain increases with movement and is relieved somewhat when he is still.

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