SOLVED2396

During a family reunion, a 62-year-old widower describes to his son a one month history of lethargy. He attributed it to the stress of a recent move from a large house into a small apartment following his wife’s death. His granddaughter comments that his eyes appear “yellow” and that he has lost a significant amount of weight since she last saw him seven months ago. Corroborating the finding of painless jaundice, his internist orders a contrast-enhanced CT scan of his abdomen and pelvis. The CT scan visualizes a 3 cm. mass in the head of the pancreas. On physical examination, the patient has a palpable and mildly tender gallbladder. What is the significance of this finding? What hematologic abnormalities may be associated with pancreatic cancer? What are some important clinical prognostic factors?
SCIENCE
HEALTH SCIENCE
NURSING

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