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Clinical presentation of chronic pancreatitis

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Abdominal pain, a characteristic of chronic pancreatitis in younger patients, may be less severe or even absent in the elderly.17 Weight loss, new‐onset diabetes, and steatorrhea (representing fat malabsorption) are often the presenting symptoms in elderly patients. Occasionally, chronic pancreatitis is recognized as an incidental finding when pancreatic calcifications are noted on abdominal CT or, more rarely, abdominal X‐rays.

Clinical examination is usually normal, although there may be localized tenderness in the epigastrium. Signs of malnutrition occur late in the disease.

Pathy's Principles and Practice of Geriatric Medicine

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