question: Q:A 51-year-old homeless man presents to the emergency department with severe abdominal pain and cramping for the past 3 hours. He endorses radiation to his back. He adds that he vomited multiple times. He admits having been hospitalized repeatedly for alcohol intoxication and abdominal pain. His temperature is 103.8° F (39.8° C), respiratory rate is 15/min, pulse is 107/min, and blood pressure is 100/80 mm Hg. He refuses a physical examination due to severe pain. Blood work reveals the following:
  Serum:    
    Albumin: 3.2 gm/dL
    Alkaline phosphatase: 150 U/L
    Alanine aminotransferase: 76 U/L
    Aspartate aminotransferase: 155 U/L
    Gamma-glutamyl transpeptidase: 202 U/L
    Lipase: 800 U/L
  What is the most likely diagnosis of this patient?? 
  {'A': 'Cholecystitis', 'B': 'Pancreatitis', 'C': 'Choledocholithiasis', 'D': 'Duodenal peptic ulcer', 'E': 'Gallbladder cancer'},