HISTORY OF PRESENT ILLNESS: Patient was diagnosed with Cystic Fibrosis at birth. This disease has caused the patient to have history of gallstones that have been found and removed through ERCP 5 years ago. When the ERCP was administered, the physician also found the patient to have a pancreatic pseudocyst. Treatment for the pseudocyst included an endoscopic-assisted drainage using an endoscope. The patient was also diagnosed with pancreas divisum at birth. Patient has had no problems or symptoms with this birth defect.
Patient was diagnosed 8 years ago with hypertension (high blood pressure) and has been taking Furosemide (or Lasix) since the diagnosis. Patient also has a history of very high triglyceride levels and has been diagnosed with hypertriglyceridemia.
Patient also has a history of acute pancreatitis.
Patient admits to a history of alcohol abuse.
SYMPTOMS: Patient came in with severe abdominal pain, nausea and vomiting, along with feeling fatigued.
PHYSICAL EXAMINATION FINDINGS: Because of the patient being obese, we tested and found elevated levels of lipids and too much calcium in the blood to diagnose her to have acute hyperlipidemia along with having modest hypercalcemia. Because hypercalcemia, hypertriglyceridemia, cystic fibrosis and history of acute pancreatitis, a blood test was done to check the insulin levels. We did find a decreased insulin level and blood amylase levels were slightly elevated parallel with lipase concentrations. This led…