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Author9 Posts
  #1

A 45 year old woman has a 7 month history of moderate abdominal pain that is exacerbated by eating.She uses alcohol heavily for the past 10 year
X ray films of the abdomen show diffuse retroperitienal calcifications
the most likely diagnosis is ?

a.-cholangitis
b.-chronic pancreatitis
c.-pancreatic islet cell neoplasm
d.-peforated gastric ulcer
e.-ulcerative colitis

  #2

chronic pancreatitis

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  #3

most likely right ? b.-chronic pancreatitis

Don't remmember where I read that in industriliazed countrys is common
to much alcohol
cool

  #4

[left]im not 100% sure of my answer-only about 50/50- I make mistake if someone sees one please mention it![/left]

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Smell the coffee! "Is That an Osler move??"

  #5

b

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  #6

the answer is chronic pancreatitis.
no 1 risk factor of ch pncreattis is a long history of heavy alcohol consumption the symptom in the question that the pain increase after meal is seen in chronic pancreattis and the x ray finding is also consistent with chronic pancraetitis

for more details on ch pancreatitis the links are as foloows

http://www.nlm.nih.gov/medlineplus/ency/article/0...

and

http://www.netdoctor.co.uk/diseases/facts/chronic...


  #7

B for sure.

  #8

B

  #9

nod









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