Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Gastroenterology


Answer 1
  1. CT scan of the abdomen and pelvis. This patient’s pain is suspicious for chronic pancreatitis, and his pancreas should be evaluated. In addition, patients with chronic pancreatitis from any cause are at increased risk for developing pancreatic adenocarcinoma. A CT scan can be useful to evaluate the pancreas for changes consistent with chronic pancreatitis or a mass lesion. He may have steatorrhea from pancreatic exocrine failure, which would explain his loose stools, but a 72-hour stool collection to check for fecal fat would be more valuable once a diagnosis of chronic pancreatitis is established. Endoscopy and colonoscopy could be considered if his CT scan results are normal, as he could have peptic ulcer disease or colitis.

Click here to return to the questions

 

Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj