A 68 year old female with abdominal distension and weakness hasCompensated hypokalaemic, hypochloraemic metabolic alkalosis

severe hypokalaemia

moderate hyponatraemia

lactataemia

normocytic/ macrocytic anaemia

Evidence of obstructive liver disease

very low Urea and Creatinine – cachectic with poor muscle mass

Above may be explained by ongoing weight loss and nutritional deficiency with possible abdominal mass/ ascites

Does this person have Lymphoma/Leukaemia, metastatic disease, myelodysplasia, B12/Folate deficiency, other cause??