{'fraction_non_alphanumeric': 0.029567854435178165, 'fraction_numerical': 0.01288855193328279, 'mean_word_length': 4.9192825112107625, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Elevated Serum Pancreatic Enzymes in a Patient with Transient Gastritis

A 12-year-old boy presented to the emergency department (ED) with his parents following 7 to 8 episodes of nonbloody, nonbilious emesis that began shortly afterheawoke thatmorningwithnauseaand abdominal pain. He had not eaten since dinner the night before, which was at a local Mexican restaurant with his family. He had remained afebrile, no other family members were ill, and the patient had been in his usual state of good health the day prior with normal activity, appetite, and bowel movements. There was no history of trauma, travel, infections, or ingestions. His past medical history was significant for seasonal allergic rhinitis and mild intermittent asthma that were well controlled with cetirizine and albuterol, respectively (neither of which had been taken for more than 6 months). Surgical history was significant for left inguinal hernia repair at age 7. He had no known allergies, and his immunizations were up to date. In the ED, the patient received normal saline boluses of 500 mL (20 mL/kg) and 400 mL (16 mL/ kg), a 4-mg dose of oral dissolvable ondansetron, had labs drawn, and had a noncontrast abdominal computed tomography (CT). Pediatrics was called to evaluate the patient and the following physical exam was obtained: