Question: A 25-year-old man was admitted to the hospital with complaints of nausea, vomiting and abdominal pain of 2-3 months’ duration. He reported early satiety, poor appetite and weight loss of 20 lbs over 3 months. On examination, he was noted to be hypotensive (blood pressure, 96/60 mm Hg) and tachycardic (heart rate, 116/min). Complete blood count, serum electrolytes, liver function tests, and lipase levels were within normal limits.