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?