A 35-year-old male presents to the emergency department with a 4-hour history of abdominal pain,nausea, and vomiting. He denies diarrhea. Examination reveals the following:
Temperature 101°F (38.3°C)
Pulse 100 beats/min
Respiratory rate 20/min
Blood pressure 110/65 mm Hg
The patient is in moderate distress and slightly diaphoretic. He has poor oral hygiene and the odor ofalcohol is noted. Examination of the heart and lungs are unremarkable except for tachycardia.Abdominal examination reveals hypoactive bowel sounds, diffuse tenderness with more markedtenderness in the epigastric area, without guarding, rebound, masses, or organomegaly. Along with CBC, what diagnostic studies would be most appropriate?
The clinical presentation suggests acute pancreatitis, which is best evaluated by liver function tests, amylase, and abdominal films