nbme4 - ck20

[ArchivalUser]

527 man come to office with 30 ib weight loss during 6 months,oily diarrhea during 2 months,he diagnosed with acute pancreatitis 2 years ago and 1-3 hour episodes since then,he smoke for 30 y,has been alcoholic but absinent for the past 2 years,bmi is 20,pulse100 ,bp 120/80,abdomen scaphoid with mild tenderness,liver firm 2cm under costal margin,
hct 32%
Ast 23,Alt 29,ALP120,FERRITIN 250,AMYLASE 90,LIPASE 43(N 14-280)
mcv 85
wbc 10300
plt 302000
na 139
k3.5
cll 108
bun 22
glu
164
WHAT IS THE NEXT STEP IN MANAGEMENT?
1 dietry supliment with mulivitamin with iron
2gluten free diet
3insulin trhreapy
4pancreatic replacement therapy
5 parenteral nutrition

[ArchivalUser]

4.....?

[ArchivalUser]

Ans. 4.

[ArchivalUser]

tanx,i just want to know why ferritin is high here?

[ArchivalUser]

ferritin is an acute phase reactant it is elevated during inflammatory processes