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Exam questionKROK 2Medicine ยท 2012

4 hours after having meals a patient with signs of malnutrition and steatorrhea experiences stomach pain, especially above navel and to the left of it. Diarrheas take turns with constipation lasting up to 3-5 days. Palpation reveals moderate painfulness in the choledochopancreatic region. The amylase rate in blood is stable. X-ray reveals some calcifications located above navel. What is the most likely diagnosis?

Answer options

  1. Chronic calculous cholecystitis
  2. Duodenal ulcer
  3. Zollinger-Ellison syndrome
  4. Chronic pancreatitis
  5. Chronic gastroduodenitis
Correct answer

Chronic pancreatitis

Explanation

4 hours after having meals a patient with signs of malnutrition and steatorrhea experiences stomach pain, especially above navel and to the left of it. Diarrheas take turns with constipation lasting up to 3-5 days. Palpation reveals moderate painfulness in the choledochopancreatic region. The amylase rate in blood is stable. X-ray reveals some calcifications located above navel. What is the most likely diagnosis? Steato

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