I believe this patient have pancreatitis. Firstly because high levels of ALP, which is an enzyme in the blood that help breakdown protein and other functions such as metabolism in the liver. High levels indicate issue with liver, pancreas. Unlikely to be liver due to no symptoms real symptoms related eg: jaundice, fatigue except for abdominal pain. But anyway. Also high levels of glucose within blood suggesting that diabetic but no mention of that. Maybe hyperglycemic. Or high levels due to infection present.
Amalayse/ faecal elastases gave me a good idea that the issue is to do with the pancreas. Since amalyse is a pancreatic enzyme. High levels indicate infection, leads to cholecytitis. Also another symptom is abdominal pain. Feacal elasatses anotger enzyme linked to pancrease more specifically, exocrine tissue of pancrease. Responsibile for enzyme production which r responsible fir breakdown if carbs, fats protiens etc. Another symptoms greasy stool which backs this idea up of pancreatitis. Also weight loss another symptom. This may also be causing diabities which cause s high level glucose present in blood.
So all in all im thinking this patiwnt has pabcreatitis leading to cause maybe diabities. Also leading to malabsorption. Increase effect due to her history of alcoholism and poor diet.
Let me know if its pancreatitis. Would like to know if missing something or wrong. Or if i can be more accurate in diagonsing if its acute or chronic. Or if its causing diabities also.
* Sorry for bad spelling.