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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 62-year-old Caucasian man visits his primary care provider with recurrent episodes of moderate to severe abdominal pain, nausea, and anorexia for the past 2 years. Additional complaints include constipation, steatorrhea, weight loss, polyphagia, and polyuria. His personal history is relevant for a 2-year period of homelessness when the patient was 55 years old, cigarette smoking since the age of 20, alcohol abuse, and cocaine abuse for which is currently under the supervision of a psychiatry team. He has a pulse of 70/min, a respiratory rate of 16/min, a blood pressure of 130/70 mm Hg, and a body temperature of 36.4°C (97.5°F). His height is 178 cm (5 ft 10 in) and weight is 90 kg (198 lb). On physical examination, he is found to have telangiectasias over the anterior chest, mild epigastric tenderness, and a small nodular liver. Laboratory test results from his previous visit a month ago are shown below:
Fasting plasma glucose 160 mg/dL
HbA1c 8%
Serum triglycerides 145 mg/dL
Total cholesterol 250 mg/dL
Total bilirubin 0.8 mg/dL
Direct bilirubin 0.2 mg/dL
Amylase 180 IU/L
Lipase 50 IU/L
Stool negative for blood; low elastase
This patient’s condition is most likely secondary to which of the following conditions?
assistant
Alcohol abuse