Patient Presentation: 72 y.o.female with history of COPD and HTN who has been experiencing post-prandial abdominal pain and weight loss. She has lifelong problems with IBS and constipation; however, over the last 6 months, she started to experience pressure after eating. She has lost approximately 25 pounds over the last 6 – 7 weeks. She can only tolerate a liquid diet. She has been smoking for about 50 years, but quit 8 weeks ago.
The rest of her review of systems is negative. She is on aspirin and anti-hypertensive medications. She has no history of diabetes and her lipid panel is normal.
What is the diagnosis?
A. Chrons disease
B. Acute mesenteric ischemia
C. Chronic mesenteric ischemia
D. Median arcuate ligament syndrome
E. SMA syndrome
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