Pain, Vomiting in a 48-Year-Old on Levothyroxine, Metformin

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Pain, Vomiting in a 48-Year-Old on Levothyroxine, Metformin
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A patient taking metformin + levothyroxine presents doubled over in pain. You Dx pancreatitis, but what type?

The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions.

If you have a case that you would like to suggest for a future Case Challenge, pleaseA 48-year-old man presents to the emergency department with epigastric pain, nausea, nonbloody vomiting, and anorexia. He describes the pain as constant, with a sharp, stabbing nature. Lying in a fetal position alleviates the pain. He has no fever, chest pain, dyspnea, or recent weight loss. The pain started suddenly 2 days ago while he was at work.

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