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examsoon
Forum Newbie

Topics: 7
Posts: 9
08/20/06 - 03:23 PM       #1

38. A 42-year-old man who is a resident of the USA comes to the physician because of greasy foul-smelling stools and a 5.5-kg (12-lb) weight loss over the past 6 months. He has a 6-year history of chronic abdominal and back pain. The epigastrium is tender on deep palpation. A CT scan of the abdomen shows pancreatic atrophy and calcifications. Which of the following is the most likely cause of his disease?

A
) Alcohol dependence

B
) Congenital pancreatic cyst

C
) Diabetes mellitus

D
) Gallstones

E
) Heredity

F
) Pancreas divisum

G
) Protein-calorie malnutrition

alcohol or gallstone for chronic pancreatis?

PatriciaLim
Forum Senior

Topics: 13
Posts: 54
08/21/06 - 02:15 PM       #2

alcohol or gallstones.
Well, considering the fact that CT show pancreas atrophy and calcification.
I will go for gallstones that logde further down near the oddi.

docarchana
Forum Guru

Topics: 70
Posts: 515
08/21/06 - 03:27 PM       #3

its a case of chronic pancreatitis. alcoholism is the mcc. so i wud go with A.

pocas
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Topics: 7
Posts: 169
08/21/06 - 05:04 PM       #4

A.,
the most frecuent case of chronic pancreatitis is alcohol

docswapna
Forum Senior

Topics: 61
Posts: 229
09/21/06 - 06:35 AM       #5

yes A is the better choice.

drfax
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Posts: 262
09/21/06 - 08:58 AM       #6

A

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twesting2173
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Topics: 7
Posts: 65
09/22/06 - 08:27 PM       #7

chronic calcifing=alcohol
chronic obstructive=gallstones

bye

klimt
Forum Guru

Topics: 27
Posts: 605
09/30/06 - 10:05 AM       #8

A for sure

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Allison
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Topics: 20
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11/13/06 - 07:36 AM       #9

A The most common cause in the Western world of chronic pancreatitis is excess alcohol ingestion.

Ig F
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11/15/06 - 02:41 PM       #10

alcohol is the most common cause of chronic pancreatitis.....A is the correct answer

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