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?
- A)Crohn disease
- B)Chronic pancreatitisGABARITO
- C)Acute pancreatitis
- D)Peptic ulcer disease
- 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 →