A 75 year old female presents to your ED with abdominal pain and nausea. She has a history of irritable bowel disease and gets recurrent abdominal pain.

On examination her abdomen is soft with mild generalised tenderness.

T = 37.3 degrees celsius

PR 80/min

Her blood results are as follows:

Hb    133 g/l   (113-155)

Platelets    324   (140-400)

WCC   5.6  (4-11)

Neutrophils   3.1  (1.8-7.5)

Lipase   140   (13-60 IU/l)

Bilirubin  19  (<16 umol/l)

ALP   225   (30-115  U/l)

GGT   809  (<36 U/L)

ALT   246   (<31 U/L)

Albumin  47  (36-48 g/l)

Na  142  (134-146 mmol/l)

K   3.9  (3.4- 5.5 mmol/l)

HCO3   25   (22-32 mmol/l)

Urea   4.0  (3-8 mmol/l)

Questions:

1. Describe the abnormalities

2. Interpret your findings

3. What are the key questions on history?

4. Describe your interventions