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A 21 year old college student presented to the ER complaining of severe abdominal pain and four bouts of vomiting. He described the pain as sharp and radiating to the back. Last evening, he attented a birthday party and reported drinking heavily. Physical exam was remarkable for epigastric pain on palpation but no rebund tenderness. Serum amylase was normal and serum lipase is pending. Triglyceride level was 1000 mg/dl.
What is the most likely diagnosis?What is the pathogenesis to this condition?What is/are the long term effects if this patient continues to imbibe a significant amount of alcohol?As the discharging nurse, what medical advice would you give the patient?
The above young man persisted in "partying hard," and with a promotion to the vice president position of a large exporting company, he continued to consume alcohol on a regualr basis. He now presents to the ER complaining of recurrent abdominal pain with sporadic diarrhea. He describes his stool as greasy and foul smelling.
What is the most likely diagnosis?What is the most common cause of this condition?What is the treatment of choice?What is the most liekly outcome if the patient persists in the heavy consumption of alcohol?
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