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how old is she?
she could have a bad viral infection like hand foot viral infection causing the pealing of the skin
she could have mononucleosis viral infection as well which can cause severe fatigue.
she should get her stool cultured to check for infection like clostridium difficile infection which can occur after antibiotic therapy
she can still have an abdominal ultrasound or an MRI scan without contrast to look at her pancreas
she can get blood test to check her amylase and lipase levels to check for inflammation of her pancreas
she can get CA 19-9 blood tests to check for pancreatic cancer
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