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23rd April 2024
A 43-year-old male presents with abdominal pain. He describes the pain as severe, radiating through to his back
A 43-year-old male presents with abdominal pain. He describes the pain as severe, radiating through to his back. He also describes worsening diarrhoea over the past year. He has not noticed any visible blood in his stool but says sometimes they can be smelly and difficult to flush. Over the past month or so, he has also been thirsty and passing urine more often, including through the night. He has had multiple previous admissions with pancreatitis secondary to alcoholism. On examination, his abdomen is soft with some tenderness in the epigastric region. He appears malnourished and his BMI is calculated at 17.
Investigations show the following:
| Haemoglobin | 106/l |
| MCV | 101 |
| White Cell Count | 15.2*10⁹/l |
| Neutrophils | 13.2*10⁹/l |
| Platelets | 300*10⁹/l |
| Sodium | 131 mmol/l |
| Potassium | 3.5 mmol/l |
| Urea | 3.0 mmol/l |
| Creatinine | 40 µmol/l |
| CRP | 40 mg/l |
| Amylase | 130 U/L |
| Glucose | 11.4 mmol/L |
| Bilirubin | 9 µmol/l |
| Alkaline Phosphatase | 90 u/l |
| ALT | 20 u/l |
| AST | 40 u/l |
| Albumin | 20 g/l |
What is the most likely diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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