doc_clotaire
Forum Guru
Topics: 159
Posts: 1,247
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A 43 yo man is evaluated for one year history of chronic abdominal pain . He describes episodes of epigastric and left upper quadrant pain that last for hours and not relieved by antacids . Certains food can precipitates the pain . He also complaints of occasional diarrhea . He has lost 10 pounds over the past 6 months . 4 years ago , he was hospitalized for 3 days with acute abdominal pain . He smokes 1 pack of cigarrette a day and consume alcohol regularly . His family history is significant for diabetes mellitus in his mother and prostate cancer in his father .
Which of the following is most likely to diagnose this patient 's condition ?
a ) D- Xylose absortion test
b ) serum amylase and lipase
c ) HIDA scan
d ) Ca 19-9 and CEA levels
e ) stool elaste
f ) upper GI endoscopy
g ) liver biopsy
PLEASE GIVE YOUR SUSPECTED DIAGNOSIS AND EXPLAIN !
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| Aashi
Forum Moderator
Topics: 113
Posts: 1,060
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E ) stool elastase------>best dxoc for chronic pancreatitis
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| fox
Forum Guru
Topics: 70
Posts: 727
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yes chronic pancreatitis ....clue is previous episode of acute pancreatitis, alcohol consumption & weight loss
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