Emergency room complaining of abdominal pain

Problem: Jason is a 10-year-old boy who came to the emergency room complaining of abdominal pain after a bicycle accident. He reported that his bicycle hit a curb while he was turning and the handlebars "smashed into his stomach." An exam revealed bruising in the right upper quadrant of his abdomen which was very tender to palpation. An abdominal x-ray was read as normal but his abdominal pain continued to increase over the next few hours. Laboratory studies revealed a rising serum amylase level; amylase is a digestive enzyme made by the pancreas. Amylase in the blood indicates the accident caused: Group of answer choices damage to nerves innervating the pancreas internal bleeding injury and death of abdominal muscle cells injury and death of pancreatic cells


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