A 51-year-old man with 30-year history of heavy alcohol use presents with recurrent epigastric pain, chronic diarrhea, and 10-kg weight loss over 6 months. Vital signs: BP 128/82, HR 92, RR 16, Temp 37°C, SpO2 98%. He recently started insulin for new-onset diabetes. CT abdomen reveals pancreatic calcifications and atrophy. Serum albumin is 3.1 g/dL. He denies jaundice or abdominal distension. Which diagnosis best explains his clinical presentation?

  1. A)Crohn disease
  2. B)Chronic pancreatitisGABARITO
  3. C)Acute pancreatitis
  4. D)Peptic ulcer disease
  5. E)Pancreatic adenocarcinoma

Explicação

Chronic pancreatitis causes irreversible fibrosis with progressive loss of exocrine and endocrine function, classically from alcohol. Ver explicação completa e trilha adaptativa →

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