Ascitic fluid from a patient with symptoms of severe abdominal pain has an elevated amylase and alkaline phosphatase,a WBC count of 30,000/µL,an absolute neutrophil count of 80%,and albumin of 3.5 mg/dL (serum albumin: 4.0 mg/dL).
-What is the probable cause of the patient's disorder?
A) Alcoholism
B) Esophageal rupture
C) Intestinal perforation
D) Bile duct obstruction

Question

Quizplus · Accepted Answer

The elevated amylase and alkaline phosphatase levels, along with the high WBC count and predominance of neutrophils, suggest an inflammatory process, likely due to infection caused by intestinal perforation. The low albumin level in the ascitic fluid also suggests leakage from the intestines. Alcoholism and bile duct obstruction may cause elevated liver enzymes but are less likely causes of these specific findings. Esophageal rupture would present with a different set of symptoms and laboratory results.

Ascitic Fluid from a Patient with Symptoms of Severe Abdominal