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He has 'abdominal angina' from diminished blood flow to the

bowel as a consequence of severe atherosclerosis. Persons with diabetes
mellitus may have this finding, because all branches of major arteries to the
bowel are affected by atherosclerosis.

Question 3

A 63-year-old man has had insulin dependent diabetes mellitus for over two
decades. The degree of control of his disease is indicated by the laboratory
finding of hemoglobin A1C 10.1%. He has noted episodes of abdominal pain
following meals. These episodes have worsened over the past year. On
physical examination, there are no masses and no organomegaly of the
abdomen, and he has no tenderness to palpation. Which of the following
pathologic findings is most likely to be present in this man?

A Ruptured aortic aneurysm

B Hepatic infarction

C Mesenteric artery occlusion

D Acute pancreatitis

E Chronic renal failure