A 49-year-old man with a 20-year history of alcohol use presents with bulky, foul-smelling stools, progressive weight loss, and easy bruising. Vital signs show BP 128/76, HR 88, RR 16, temperature 37°C, SpO2 98%. Laboratory studies reveal fecal elastase <200 μg/g, prothrombin time 18 seconds, and albumin 2.8 g/dL. Abdominal ultrasound demonstrates normal liver echotexture. Which of the following is the most likely underlying diagnosis?
- A)Celiac disease
- B)Chronic pancreatitisGABARITO
- C)Gilbert syndrome
- D)Lactase deficiency
- E)Ulcerative colitis
Explicação
Chronic pancreatitis causes irreversible destruction of pancreatic parenchyma, leading to exocrine insufficiency with steatorrhea and fat-soluble vitamin deficiency. A low fecal elastase level supports pancreatic exocrine failure, and chronic alcohol use is a ... Ver explicação completa e trilha adaptativa →