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Question 24 / 32:  A 68 year old man complains of chronic peri-umbilical abdominal discomfort. He has had diarrhea for many years of unclear cause. He has lost 15 lbs in the past year unintentionally. He used to drink alcohol heavily up until 5 years ago. His blood sugar is normal.

Which of the following will most likely help you diagnosis chronic pancreatitis?
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Explanation:

The serum amylase, calcium or B12 level do not help one diagnose chronic pancreatitis. The diagnosis is based on finding morphologic evidence of calcifications in the pancreas or pancreatic ductal abnormalities or evidence of depressed pancreatic function (secretin test). An abdominal CT scan may show calcifications in the pancreas or atrophy of the pancreas – findings consistent with chronic pancreatitis.

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Gastrointestinal Pathophysiology Self-Assessment

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Attribution:  Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA
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