<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 47-year-old presents to the clinic with a 3-day history of severe mid-epigastric abdominal pain radiating to the back. The patient has hypertension, diabetes mellitus, and hypertriglyceridemia. Prescription medications include enalapril, metformin, sitagliptin, glargine, lispro, and fenofibrate. The patient has not had a cigarette in more than 35 years, and reports only having 1 or 2 drinks during special occasions such as weddings and family reunions. The blood pressure is 14690 mm Hg, the heart rate is 88min, the respiratory rate is 10min, and the temperature is 37.8C 100.0F. On physical examination, the patient appears uncomfortable but alert. The visualization of the sclera is negative for jaundice. The neck is supple and non-tender without nodules. There are no heart murmurs. The lungs are clear to auscultation bilaterally. The palpation of the abdomen elicits pain in the epigastric region. The liver is palpable along the costal margin, and the Murphys sign is negative. The laboratory results are as follows:Na 138 mEqLK 4.2 mEqLCl- 108 mmolLHCO-3 20 mmolLBUN 178 mgdLCr 1.0 mgdLGlucose 154 mgdLLDL 117 mgdLHDL 48 mgdLTG 942 mgdLAST 45 IULALT 48 IULGGT 27 IULAmylase 110 ULLipase 250 ULAccording to the clinical vignette, which of the following is the most likely diagnosis of the patient?? A: Mallory-Weiss tear, B: Duodenal ulcer, C: Superior mesenteric artery embolism, D: Acute pancreatitis, E: Abdominal aortic aneurysm,  <response>: Based on the information provided in the question stem, the key findings are:- 47-year-old patient with severe mid-epigastric abdominal pain radiating to the back - Past medical history of hypertension, diabetes mellitus, and hypertriglyceridemia- Vital signs are relatively stable except for elevated blood pressure- Physical exam is significant for epigastric tenderness- Labs show elevated lipase and amylase- Imaging is not providedThe elevated pancreatic enzymes along with the epigastric pain suggest acute pancreatitis as the most likely diagnosis. Hypertriglyceridemia is a risk factor for developing acute pancreatitis. The other choices can present with abdominal pain but are less likely based on the clinical presentation.D: Acute pancreatitis 