Medicine

Last updated on: March 30th, 2021

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You’re looking at an interactive case study from Prognosis: Your Diagnosis (one of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Disquieting

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A 59-year-old man presents with dull cramping pain in the right upper abdomen for 3 days. No other symptoms are present.


He was diagnosed with type 2 diabetes five years ago, which is well controlled on Metformin alone. His surgical and family histories are unremarkable.


He smokes heavily, with a total of 15 pack years to date. He also drinks significantly, having consumed 2 to 3 units of alcohol almost every day for the last 10 years.


A complete blood count, renal profile, electrolyte assay, and random capillary glucose level are all within normal parameters.


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