Peptic ulcers, gastritis, and duodenitis (pediatrics) Quiz: Ace Your Exams
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A 10-year-old boy presents to the clinic with a 4-week history of intermittent abdominal pain localized to the epigastric region. The pain is described as a burning sensation that worsens at night and is partially relieved by eating. The parents note that the child has been less active recently and has occasionally experienced nausea but without vomiting or weight loss. The parents also mention that the child has experienced growing pains over the past several months. Vitals are within normal limits. On examination, the patient appears pale, and abdominal palpation reveals mild tenderness in the epigastric region without rebound or guarding. Cardiopulmonary examination is normal. Considering the most likely diagnosis, which of the following additional features is most likely to be present in this patient’s history?
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