Card 18 / 33: A 32 year old woman presents to the emergency room with severe epigastric and right upper quadrant pain 3 hours after eating a large cheeseburger. The pain occasionally radiates to her right flank and right back. She has a low grade temperature and is tender to palpation in the right upper quadrant of the abdomen. Her lab tests are as follows: ALT: 44 U/l AST: 25 U/l Total bilirubin: 1.3 mg/dl Alkaline phosphatase: 100 U/l White blood cell count: 14, 500 Amylase: 67 U/l Lipase: 55 U/l The most likely explanation for this patient’s symptoms is:
A) Acute cholecystitis
B) Acute peptic ulcer disease
C) Acute pancreatitis
D) Acute alcoholic hepatitis
E) Acute hepatitis B

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