An Unusual Cause Of Nausea In A Collegiate Football Player - Page #1

Author: Katherine Edenfield, MD
Co Author #1: James Clugston, MD
Co Author #2: Michael Dillon, MD
Co Author #3: Anthony Pass, MEd, ATC

Patient Presentation:
A 21 year-old collegiate football player presented to the training room complaining of nausea since the previous day's football practice. He also felt weak, fatigued, and thought he had been sweating more than normal with exertion. He denied vomiting, diarrhea, or abdominal pain.

Several of his teammates had been sick with a viral gastroenteritis during the previous week. He denied recent illness. He denied any significant caffeine intake or recent ETOH intake, although he had consumed alcohol three weeks prior during a break from school.

Physical Exam:
Vitals: T=98.1; Supine BP=126/70; Supine HR=69
Standing BP=126/72; Standing HR=76
General: well-appearing white male in NAD
HEENT: No cervical LAD, posterior oropharynx without erythema, tonsillar exudate or enlargement
Respiratory: CTAB, no wheezes, no rhonchi, no rales
CV: irregular rhythm, no m/r/g
Abdomen: soft, nontender, nondistended, normal bowel sounds, no masses, guarding, or rebound

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