03-04-2007, 09:37 AM
14. A 7-year-old white boy is brought to the health center by his mother because of stomach pain for the past 3 months. The mother says that the pain typically comes on soon after waking and is not relieved by antacids. She says his symptoms never occur late in the day, but only in the mornings. There has been no vomiting, diarrhea or weight loss. The child has been generally healthy and is up-to-date with vaccinations. He lives with both parents. His height and weight are at the 75th percentile. Physical examination, including developmental assessment, is normal. Specific additional history should be obtained regarding which of the following? A) Days of the week in which the patient is most symptomatic B) Family history of milk allergy C) Quantity of food intake D) Recent travel history E) The source of water at home