An obese 45-year-old woman known to abuse alcohol had a sudden onset of upper abdominal pain accompanied by elevation of serum amylase level, leukocytosis, and mild hyperbilirubinemia. Most likely she has
A. acute hepatitis
B. cirrhosis
C. acute pancreatitis
D. pancreatic pseudocyst
E. cystic fibrosis of the pancreas
A
This woman most likely had an attack of acute pancreatitis, as evidenced by upper abdominal pain of sudden onset and elevation of serum amylase level. Leukocytosis is a sign of acute inflammation. Hyperbilirubinemia reflects mild biliary obstruction caused by swelling of the head of the pancreas.
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