Discuss risk factors associated with pancreatitis

Discussion Post: Chronic Health

A 36-year old male presents to the clinic with symptoms of increasing abdominal pain that recently started radiating to his back, nausea and unintentional weight loss (20 pounds) over the past 4 months. He has recently been having oily diarrhea like stools. PMH includes HTN. Surgical Hx: None. Medications: HCTZ 25mg daily. Allergies: None. Family: Father deceased colon cancer at 70 years old, Mother living with HTN. Social: Smokes tobacco-1PPD for 35 years, admits to alcohol use daily- at least 2-3 beers every night for the past 10 years, and prior history of marijuana and IV drug use as a young adult. He is employed full-time as a supervisor at a local construction company. He is divorced and has 2 adult children. He does not exercise regularly.

Diagnostics: CBC, CMP, UA wnl. Abdominal ultrasound reveals enlarged pancreas with calcification.

After thorough evaluation the diagnosis Pancreatitis was made.

• Discuss Pancreatitis and 3 other differential diagnosis. Provide pertinent positives and negatives.

• What further history would you like to obtain to inform the diagnosis of pancreatitis? Provide rationale.

• What additional labs would you order?

• Discuss risk factors associated with Pancreatitis.

• Discuss clinical relevance of diagnostics revealed above and discuss additional diagnostics you would like to obtain to establish a diagnosis of pancreatitis?

• Consider likely stage of the pancreatitis as well as prognosis with and without appropriate treatment.

• Discuss management options of pancreatitis, along with rationale.

The response must include a reference list. Using Times New Roman 12 pnt font, double-space, one-inch margins, and APA style of writing and citations.

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