A 42-yeаr-оld presents tо the Emergency Depаrtment (ED) cоmplаining of sudden onset persistent epigastric pain radiating to their back. The patient states that they have been nauseous for the past 3 days, but began vomiting and having abdominal distention today. The patient states that they have never had this type of epigastric pain before. The patient's temperature is 1020 and a heart rate of 100BPM when their vitals are taken in triage. The nurse practitioner examines the patient and finds the following: Decreased bowel sounds Diffuse abdominal tenderness to palpation Involuntary guarding Abdominal distention The nurse practitioner also notes Cullen's sign. What should the nurse practitioner suspect this patient is suffering from?
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