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23rd April 2024
A 55-year-old female presents with 6 weeks of nausea, reduced appetite, and weight loss
A 55-year-old female presents with 6 weeks of nausea, reduced appetite, and weight loss. She denies vomiting and denies loose stools. She has a past medical history of rheumatoid arthritis and smokes 5 cigarettes a day. She denies any history of alcohol abuse. On examination, she is mildly jaundiced. There are no other significant findings. Her abdomen is soft and non-tender.
Investigations show the following:
| Haemoglobin | 115/l |
| White Cell Count | 9.1*10⁹/l |
| Neutrophils | 6.0*10⁹/l |
| Platelets | 340*10⁹/l |
| Sodium | 135 mmol/l |
| Potassium | 4.0 mmol/l |
| Urea | 5.4 mmol/l |
| Creatinine | 89 µmol/l |
| CRP | 30 mg/L |
| Glucose | 15 mmol/L |
| Bilirubin | 42 µmol/l |
| Alkaline Phosphatase | 161 u/l |
| Gamma-T | 130 u/l |
| ALT | 38 u/l |
| AST | 25 u/l |
| Albumin | 34 g/l |
A CT was requested and demonstrated global pancreatic enlargement, giving the impression of a sausage shaped pancreas.
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