Don’t let them blind you with this patient’s misery. The issue of the day is that he has a DVT. That’s why he came to the ER in the first sentence and what the ultrasound shows at the end. Patients with cancer are hypercoagulable.

This patient presents with signs suggestive of metastatic pancreatic cancer. One multisystemic sign of pancreatic cancer is hypercoagulability.

FA 2020 pg 351

Pancreatic islet cell tumors -- Glucagonoma PRESENTS WITH DVT tx: octreotide /surgical resection