Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with chronic, recurrent epigastric pain radiating to the back, exacerbated by high-fat meals. Reports associated steatorrhea, unintentional weight loss, and postprandial bloating. History significant for [alcohol use/biliary obstruction/ductal strictures]. No current signs of acute flare (fever, vomiting).
Clinical Examination Findings
General: Patient appears chronically ill, cachectic. Abdomen: Epigastric tenderness on deep palpation, no rebound or guarding. Bowel sounds present. Skin: No jaundice or scleral icterus. Vitals: Stable. BMI: [Value] kg/m².
Treatment Protocol
1. Pancreatic Enzyme Replacement Therapy (PERT) with meals. 2. Low-fat, high-protein diet; small frequent meals. 3. Abstinence from alcohol and tobacco. 4. Pain management: Non-opioid analgesics, consider neuromodulators. 5. Surgical/Endoscopic consultation for ductal decompression/stenting. 6. Monitor fat-soluble vitamin levels (A, D, E, K).