A 35-year-old alcoholic male is admitted for nausea, vomiting, and abdominal pain that radiates to the back. The laboratory value that suggests a poor prognosis in this patient is
a. Elevated serum lipasae
b. Elevated serum amylase
c. Leukocytosis of 20,000/µm
d. Diastolic blood pressure greater than 90 mmHg