The patient's symptoms, history, and lab results strongly point to acute pancreatitis.

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Answer

B

The patient's symptoms, history, and lab results strongly point to acute pancreatitis.

  • Severe epigastric pain radiating to the back is a classic presentation of acute pancreatitis.
  • Nausea and vomiting are common accompanying symptoms.
  • Chronic alcohol use is a well-known risk factor for acute pancreatitis.
  • Markedly elevated serum lipase is a key diagnostic marker for acute pancreatitis, indicating pancreatic inflammation.

Therefore, the most likely diagnosis is acute pancreatitis.

The correct option is B.

B. Acute pancreatitis\boxed{\text{B. Acute pancreatitis}}
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