Chronic pancreatitis: Other than alcohol, ductal obstruction, and high serum triglycerides (not total cholesterol), look into hereditary pancreatitis by asking family. Also, cigarette smoking (if he smokes). Beyond that, autoimmune causes are more rare. Underlying diseases such as lupus or hyperparathyroidism have obvious manifestations and do not typically start as pancreatitis. Key tests: ultrasound, ERCP.
Answered 2/24/2018
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