From Spiking To Squeamish: A Volleyball Player's Unexpected Cause Of Nausea

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From Spiking To Squeamish: A Volleyball Player's Unexpected Cause Of Nausea - Page #1

Author: Mikayla Sonnleitner, BS Co Author #1: Justin Mark J Young Senior Editor: Justin Mark Young, MD Editor: James Robinson, MD Patient Presentation: 19-year-old male, D1 volleyball player presents to the athletic training room with dizziness and nausea while weight-lifting. History: That morning he ate his normal breakfast of fruit and oatmeal, then went weight-lifting afterwards, and felt very sick midway through his workout. He denies fever, chills, and abdominal pain. Upon entering the training room, he has tachycardia, but otherwise normal vitals. He cannot seem to gain weight despite eating large amounts of food, which he attributes to volleyball conditioning training. He denies trauma, eye problems, chest pain, and palpitations, although he has been "a bit shaky" and has been sweating more than usual for the past 2 months. He has a 10 pound weight loss, and reports increased appetite. He reveals that episodes of nausea happened several times this week, in which he started his workout but couldn't complete it because he felt ill. Physical Exam: Vitals: 5'11", 138 pounds, 98.4 degrees, blood pressure 124/73, heart rate 104 bpm General: no respiratory distress, alert and oriented; Neck: thyroid gland normal without masses Cardiac: regular rate and rhythm, no murmurs Lungs: clear bilaterally Abdomen: soft, non-tender without distention Extremities: hands tremulous Neurological: awake, alert, and oriented to person place and time with normal speech. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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