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15-Year-Old Boy With Abdominal Pain and Hypertension

      A 15-year-old boy was referred to our institution for evaluation of abdominal pain of 4 months' duration. Previously healthy, he began to experience diffuse abdominal pain associated with occasional episodes of nonbloody, nonbilious vomiting. Initially, he had constipation, which was unrelieved by treatment with suppositories. The abdominal pain became worse; it was constant rather than colicky, not radiating, and no longer associated with nausea, vomiting, diarrhea, or constipation. No specific aggravating factors were identified. The pain seemed to diminish after eating. He was treated empirically with antiulcer medicines, but the symptoms were unresolved.
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      Correct answers: 1. e, 2. d, 3. e, 4. b, 5. a