The prevalence of depression among adults 18 to 24 years of age is estimated to be 15 to 40 percent. A broad treatment strategy that includes counseling and medication is indicated for young adults with depression. Several forms of psychologic treatment have been suggested, including psychotherapy, cognitive behavioral therapy and family therapy. Adenocarcinoma of the pancreas is one of the most common causes of cancer mortality.
Most cases occur in the head of the gland.
Risk factors for pancreatic cancer include cigarette smoking, diets high in fat and protein, and certain occupational exposures to chemicals. It is unclear if diabetes is a predisposing condition or an early symptom of pancreatic pathology. Patients with pancreatic cancer typically present with weight loss, pain of the upper abdomen or back, and obstructive jaundice. Pruritus, nausea and vomiting are the symptoms of pancreatic cancer that may be the most distressing to patients. Several abnormalities on physical examination and laboratory testing may contribute to the diagnostic evidence of pancreatic cancer, but the most useful initial investigation is abdominal ultrasonography.