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  #1  
Old 09-28-2010
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Pancreas Chronic Pancreatitis

A 55-year-old white woman has had recurrent episodes of alcohol-induced pancreatitis. Despite abstinence, the patient develops postprandial abdominal pain, bloating, weight loss despite good appetite, and bulky, foul-smelling stools. KUB shows pancreatic calcifications.

In this patient, you should expect to find which of the following?

a. Diabetes mellitus
b. Malabsorption of fat-soluble vitamins D and K
c. Guaiac-positive stool
d. Courvoisier sign
e. Markedly elevated amylase
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  #2  
Old 09-28-2010
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I think diabetes mellitus is the answer but am not sure
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  #3  
Old 09-30-2010
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good question , it is acase of cancer head of pancrease , and i think it is courvieser sign
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Old 10-15-2010
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it's chronic pacreatitis i think and patient suffers from fat soluble vitamin deficiency that will be earlier complication of pancreatitis than diabetes mellitus .
chronic pancreatitis will result in diabetes mellitus when almost all of healthy tissue of pancreas has been lost.
option B
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  #5  
Old 10-17-2010
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By the way I'd like to ask how can KUB show pancreatic calcifications?
Don't you mean KUB ( Kidney, Ureter and Bladder ).

Anyways, if you've really got calcification in pancrease, it means that the case is chronic pancreatitis with dystrophic calcification. The most likely finding will be deficiency of fat soluble vitamins as indicated by the findings of stool indicating steatorrhea.

So correct answer is B
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  #6  
Old 10-17-2010
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is it cancer in the head of pancreas bec the symptoms point to this
so if it is then its couvesiers sign
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Endocrinology-, Gastroenterology-, Step-2-Questions

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