Football player presents with fatigue and abdominal pain

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A 16-year-old high-school football player presents with fatigue and abdominal pain 14 days after enduring a heavy upper-body tackle. He initially complained of pain affecting his anterior chest wall and abdominal wall, for which he has been taking daily ibuprofen. Since the injury, the chest pain has subsided, but the abdominal pain has persisted, affecting mostly the epigastrium. It has not limited his activities; he continues to play football and has not noticed any change in the pain when playing. He has felt increasingly fatigued and reports intermittent nausea. He has not experienced any vomiting or diarrhea. Examination reveals no ecchymosis or swelling. He is able to lift his arms, rotate his upper body, and take a deep breath without pain. What is the most likely cause of this patient's symptoms? A 16-year-old high-school football player presents with fatigue and abdominal pain 14 days after enduring a heavy upper-body tackle. He initially complained of pain affecting his anterior chest wall and abdominal wall, for which he has been taking daily ibuprofen. Since the injury, the chest pain has subsided, but the abdominal pain has persisted, affecting mostly the epigastrium. It has not limited his activities; he continues to play football

Reference no: EM133710938

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