Patient presents with a history of pancreatitis, characterized by recurrent or single episodes of pancreatic inflammation.  The initial onset of acute pancreatitis may have been triggered by gallstones, alcohol abuse, hypertriglyceridemia, trauma, or other etiologies.  Symptoms reported include episodic or persistent upper abdominal pain, often radiating to the back, accompanied by nausea, vomiting, and occasionally fever.  Diagnostic workup at the time of the acute episode may have included elevated serum amylase and lipase levels, abdominal ultrasound, CT scan with contrast, or MRCP to assess pancreatic morphology and identify potential causes such as gallstones or pancreatic duct obstruction.  Current presentation may include persistent abdominal pain, steatorrhea indicating exocrine pancreatic insufficiency, or new-onset diabetes mellitus suggestive of endocrine pancreatic dysfunction.  Differential diagnosis includes other causes of abdominal pain such as peptic ulcer disease, cholecystitis, and small bowel obstruction.  Plan includes assessment of current symptoms, review of prior imaging and laboratory results, and consideration for further testing such as fecal elastase to evaluate exocrine function or HbA1c to assess glycemic control.  Management may involve pain management strategies, pancreatic enzyme replacement therapy for exocrine insufficiency, and diabetes management if indicated.  Patient education focuses on lifestyle modifications such as dietary adjustments, alcohol cessation, and medication adherence.  Follow-up will be scheduled to monitor symptom control, pancreatic function, and overall health status.