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This patient has a history of smoking 38 packs of cigarettes per year and drinking 10 beers per day for over 15 years. He presents with weight loss, anorexia, abdominal pain, vomiting, and weakness. On physical exam, he has jaundiced sclerae, crackles in his lungs, an enlarged liver, and hyperpigmented patches on his lower legs. He reports symptoms for 7 weeks including yellow skin, weakness, and epigastric pain.

Author

Elle Reyes

Language

EN