Review Question - QID 110023

A 66-year-old woman presents to the emergency department with abdominal pain. Her symptoms began when she was eating dinner. She has a medical history of obesity, constipation, intravenous drug use, and diabetes. The patient is instructed to be NPO and is transferred to the surgical floor. Three days later, she has a cholecystectomy and is recovering on the surgical floor. Her temperature is 98.0°F (36.7°C), blood pressure is 122/88 mmHg, pulse is 92/min, respirations are 14/min, and oxygen saturation is 99% on room air. Her laboratory values are ordered as seen below.

Hemoglobin: 11 g/dL
Hematocrit: 33%
Leukocyte count: 8,500/mm^3 with normal differential
Platelet count: 197,000/mm^3

Serum:
Na+: 139 mEq/L
Cl-: 100 mEq/L
K+: 4.3 mEq/L
HCO3-: 25 mEq/L
BUN: 20 mg/dL
Glucose: 99 mg/dL
Creatinine: 1.1 mg/dL
Ca2+: 10.5 mg/dL
Alkaline phosphatase: 733 U/L
GGT: 20 U/L (normal < 30 IU/L)
AST: 22 U/L
ALT: 20 U/L

The patient is currently asymptomatic and states that she feels well. Which of the following is associated with this patient's underlying condition?