HISTORY OF PRESENT ILLNESS: ,  The patient is a 48-year-old man who has had abdominal pain since October of last year associated with a 30-pound weight loss and then developed jaundice. 
HISTORY OF PRESENT ILLNESS : , The patient is a 48 - year - old man who has had abdominal pain since October of last year associated with a 30 - pound weight loss and then developed jaundice .