A 55 year old male presents to the emergency department with…
A 55 year old male presents to the emergency department with complaints of abdominal pain x 2 days. He describes the pain sharp to his right upper quadrant and burning to the center of his chest. He states the pain was initially intermittent, but now it is constant. He has a history of hypertension, which he states lisinopril 10mg daily. When asked about social habits he reports he drinks beer daily. His wife is present and reports he actually drinks “a 30 pack in two days”. He also smokes 1 ppd. ECG: Sinus tachycardia, rate 105, no ST changes, normal QTC, normal axis. Vitals: Temp 99.2F, Pulse 110, BP 105/54, RR 22, O2 94% on room air. Labs: WBC 18K, H&H 16.1&42.3, Plt 356K. Na+ 145, K+ 5.0, anion gap 8, BUN 41, Cr 1.9, glucose 128, Ca+ 10.2. AST 50. ALT 78. Amylase 1984. Lipase 4768. Lactic 2.3. A abdominal pelvis CT scan is ordered with suspicion for which condition?