system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 57-year-old man is admitted to the ER due to an abrupt onset of abdominal pain that radiates to the back, nausea, and multiple vomiting episodes for the past 10 hours. He does not have any significant past medical history. He admits to drinking alcohol every night. During admission, he is found to have a body temperature of 37.5°C (99.5°F), a respiratory rate of 20/min, a pulse of 120/min, and a blood pressure of 120/76 mm Hg. He looks pale with sunken eyes and has significant epigastric tenderness and flank discoloration. An initial laboratory panel shows the following:
Total count (WBC) 10,000/mm3
Platelet count 140,000/mm3
Serum glucose 160 mg/dL
Serum LDH 500 IU/L
Aspartate aminotransferase 400 IU/dL
Serum Amylase 500 IU/L
Serum Lipase 300 IU/L
Which of the following combinations would best predict severity in this case?
assistant
Age, LDH, AST