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 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?
assistant
Pancreatitis