146) A 65 year old Hispanic man presents to your office for intermittent abdominal discomfort. He is afebrile and his he physical examination is benign.
A plain x-ray of his abdomen is obtained , the film is shown below :
The most likely complication that this patient is likely to develop:
A) Inflammatory bowel disease
B) Colon cancer
C) Diabetes Mellitus
D) Chronic Renal Insufficiency
E) Hyperparthyroidism.
146-c
must be D
100%
A
b
bbb
E
Chronic Pancreatitis ——> DM answer C
Answer C
Patient shows extensive pancreatic calcifications, although not very clear. The patient has intermittent abdominal pain, so it’s definitely not a colicky picture showing a renal colic or some so renal insufficiency is ruled out. There’s no this is IBD, Colon cancer or hyperparathyroidism. The etiology is mostly hypertriglyceridemia or alcohol. The most common cause of acute pancreatitis in USA is gallstones and not alcohol so keep that in mind AND 9/10 times epigastric tenderness is acute pancreatitis!
The answer is Diabetes mellitus. Chronic pancreatitis leads to B cell depletion and production of insulin depletes leading to DM.