A 46 year old female presents to your ED with abdominal pain, nausea and vomiting. Her pain started 2 days ago but has become worse over the last few hours. She has a history of bloating after meals and reflux.On examination she has no temperature but is tender in her upper abdomen with no guarding or rebound.

Her blood results show:

Hb  159  (115-155  g/l)

Plt  346  (150-400)

WCC  9.9  (4-11)

Neutrophils  8.1

Na 141

K  3.7

HCO3  30

Urea  5.1

Creat  58

Bilirubin  19  (<16 umol/l)

ALP  179  (30-110 U/L)

GGT  1033  (<36 U/L)

ALT  2752  (<31 U/L)

Albumin  42  (38-50 g/l)

TP  76  (60-80 g/l)

Describe and interpret the blood tests

What is your differential diagnosis?

How would you investigate her further?