Pain
Episodic (1wk) or constant
Epigastric, radiating to back and left infrascapular region
Associated with nausea/vomiting
Improved with sitting up or leaning forward
Steatorrhea/DM
Late finding
Requires >80-90% loss of exocrine and endocrine function
Erythema ab igne
Hyperpigmentation of upper abdomen
Episodic (1wk) or constant
Epigastric, radiating to back and left infrascapular region
Associated with nausea/vomiting
Improved with sitting up or leaning forward
Late finding
Requires >80-90% loss of exocrine and endocrine function
Hyperpigmentation of upper abdomen
Chronic pancreatitis
Gastroesophageal reflux disease 
Symptomatic cholelithiasis
Peptic ulcer disease with or without perforation
Choledocholithiasis
Gastritis
Acute pancreatitis
Pancreatitis