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Step 2 CS - Cases > Case 27 - 61 yo M with fatigue > Flashcards

Case 27 - 61 yo M with fatigue Flashcards

1
Q

Differential diagnosis

A

Peptic ulcer disease
Pancreatic cancer
Cholangiocarcinoma

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2
Q

Differential diagnosis

A 
Pancreatic cancer (smoking, weight loss, foul-smelling, greasy stools, epigastric tenderness radiating to back)
Chronic pancreatitis (alcohol use, weight loss, foul-smelling, greasy stools, epigastric tenderness radiating to back)
Depression (early morning awakenings, impaired concentration, anhedonia, fatigue, sadness, decreased appetite, unintentional weight loss)
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3
Q

Diagnostic work-up

A 
CEA, CA19-9
AST/ALT/bilirubin/alkaline phosphatase
Lipase, amylase, glucose
CBC with differential, stool for occult blood
Fecal fat studies
TSH
ERCP
CT - abdomen
US - abdomen
Upper endoscopy
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Step 2 CS - Cases (44 decks)

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