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A high school hockey player develops diffuse abdominal pain accompanied by nausea and vomiting after a typical body check into the boards. A CT scan shows a ruptured spleen. Which of the following is a recognized risk factor for splenic rupture in this patient?
Regular creatine usage
Sustaining a spider bite
Sharing water-bottles with teammates
Taking NSAIDS on an empty stomach
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A 17-year-old football player presents to the emergency department with the acute onset of left upper quadrant abdominal pain, nausea, vomiting, and tachycardia after being tackled during a game. His medical history reveals he had mononucleosis 1 month ago. What is the most likely explanation for these findings?