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- W2092263182 abstract "© 2008 Mayo Foundation for Medical Education and Research A 75-year-old man presented to the outpatient clinic with a 9-kg weight loss during the preceding several months and mild midepigastric pain radiating to the back. His medical history was unremarkable. He was a former smoker and lifelong nondrinker. Review of systems was notable only for a slightly decreased appetite, but no nausea, vomiting, or diarrhea was reported. On physical examination, the patient was afebrile and had normal vital signs. However, cachexia and jaundice with scleral icterus were evident. Abdominal examination revealed mild midepigastric tenderness without rebound, guarding, or hepatosplenomegaly and a negative Murphy sign. Findings on the rest of the physical examination were unremarkable. Results of a complete blood cell count and electrolyte studies were within normal limits. Additional test results included the following (reference ranges provided parenthetically): alanine aminotransferase, 425 U/L (7-55 U/L); aspartate aminotransferase, 127 U/L (8-48 U/L); alkaline phosphatase, 582 U/L (45-115 U/L); total bilirubin, 8.9 mg/dL (0.1-1.10 mg/dL); direct bilirubin, 7.1 mg/dL (0.00.3 mg/dL); and lipase, less than 10 U/L (10-73 U/L). The erythrocyte sedimentation rate was elevated at 71 mm/1 h (0-22 mm/1 h). Hepatitis testing that included hepatitis B surface antigen, IgM antibodies to hepatitis B core antigen, and hepatitis C virus (enzyme immunoassay) yielded normal results." @default.
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- W2092263182 date "2008-10-01" @default.
- W2092263182 modified "2023-09-22" @default.
- W2092263182 title "75-Year-Old Man With Abdominal Pain and Weight Loss" @default.
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- W2092263182 doi "https://doi.org/10.4065/83.10.1161" @default.
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