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A 72-year-old man presents to clinic complaining of 3 months of weight loss, epigastric pain after meals, diarrhea, and acholic stools. On physical exam he has jaundice and a right upper quadrant mass, but no abdominal tenderness. He has a palpable left supraclavicular node. He also has multiple tender areas of inflamed skin on his chest wall and legs. The patient states that these patches change location over time. CT scan of his abdomen is seen in Figure A. What is the most likely diagnosis?
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A 43-year-old man presents to his primary care physician with a 2-month history of weight loss, diarrhea, and dull abdominal pain. Vital signs are unremarkable. Physical exam shows a thin male, with scleral icterus. Abdominal exam is notable for mild epigastric tenderness. Laboratory studies are remarkable for an elevated blood glucose. An abdominal CT scan is shown in Figure A. Which of the following finding are most likely in this patient?
Elevated hemoglobin and hematocrit
Elevated Alpha fetoprotein