Clinical scenario: A 54-year-old male was admitted with a history of fatigue and generalised malaise of 3 weeks duration. He also complained of postprandial fullness and an episode of non-bilious vomiting. Patient denied a history of fever, night sweats but had a weight loss of 3 kgs over this period. Prior to this presentation he had been admitted to a different hospital one month ago with a history of an epigastric pain of 3 days duration and was managed as acute pancreatitis based on high levels of amylase and lipase and an ultrasound evidence of gallstones at that time.
After necessary treatment, his pain had settled and was discharged home with an advice for follow up. Patient has been known case of diabetes mellitus for last 5 years on oral hypoglycemic agents. Clinical Examination: On examination, he was conscious, oriented in time place and a person with stable vitals. There…
