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The Patient. 52yoF, AA p/w exacerbation of chronic N/V/abd pain, a/f decreased PO intakePMHx: HTN, DM, sarcoidosis, chronic pancreatitis, evidence of carcinoid in duodenum, ?autoimmune hepatitis dx\'d 10yrs agoPSurgHx: removal of sarcoid nodule on dorsum of L hand, s/p Whipple

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