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Picture of the Month
Cyril Engmann, MBBS;
Melinda Kakish, MD;
Robert M. Truding, MD, PhD
From the Department of Pediatrics (Mr Engmann and Drs Kakish and Truding)
and Division of Pediatric Gastroenterology (Dr Truding), William Beaumont
Hospital, Royal Oak, Mich.
Arch Pediatr Adolesc Med. 2001;155:729-730.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 15-YEAR-OLD GIRL had a 3-day history of mild nausea and pain on swallowing.
The pain began gradually immediately after swallowing and was characterized
as a sharp and stabbing, localized near the left scapula. Swallowing liquids
was more painful than swallowing solid foods. The pain was not present between
swallows. She had eaten and drunk little during the past 2 days because of
the pain and nausea. A 4-lb weight loss during the past week was confirmed.
Standing upright resulted in dizziness.
Her medical history was notable for exercise-induced asthma. Smoking,
drug use, and sexual activity were denied. Four days before presentation,
after excision of an ingrown toenail, cephalexin (250-mg capsules, orally,
every 6 hours) was prescribed. On further questioning, she recalled taking
this medication with a small amount of fluid the day before symptoms began,
during which time . . . [Full Text of this Article]
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