epigastric pain and vomiting with fatty meals

[AliShah]

A 45-year-old Native American woman comes into the ER with severe epigastric pain and two episodes of vomiting that started three days ago. The pain is sharp and becomes worse when she consumes fatty meals. The patient states that although her bowel movements have been normal, she has a great deal of flatulence. She has a family history of gallstones and kidney stones. On abdominal examination, you find an obese but symmetrical abdomen; bowel sounds are present. The epigastric area is tender to palpation without radiation, guarding, or rebound tenderness. You obtain blood work and find her amylase and lipase levels to be elevated. What is the most likely diagnosis?

A. Hepatitis

B. Myocardial infarction

C. Pancreatitis

D. Peptic ulcer disease

E. Small-bowel obstruction

[Asclepius1]

the answer is pancreatitis

[quachtinh]

My answer is pancreatitis because of " amylase and lipase levels to be elevated"

[AliShah]

correct. answer is C. Pancreatitis

[pseudomonas]

C; pancreatitis probably due to choledoholithiasis