Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents for follow-up of Pancreatic Intraepithelial Neoplasia (PanIN-2) identified on prior histopathology. Patient reports [no/mild] abdominal pain, [no/new] jaundice, and [stable/unintentional] weight loss. Denies steatorrhea or new-onset diabetes. Current surveillance imaging reviewed.
Clinical Examination Findings
Abdominal examination: Soft, non-tender, non-distended. No palpable masses or organomegaly. Bowel sounds present. Sclera anicteric. No evidence of cachexia or stigmata of chronic pancreatic insufficiency.
Treatment Protocol
Plan: Continue surveillance protocol per clinical guidelines. Repeat EUS/MRI at [6/12] month intervals. Optimize glycemic control if applicable. Smoking cessation counseling provided. Monitor for symptoms of exocrine insufficiency; initiate pancreatic enzyme replacement therapy (PERT) if clinically indicated.