What causes high alkaline phosphatase in females???

45/F presented to ER with c/o Right upper & lower quadrant severe abdominal pain since 12.30 midnight a/w vomiting - 6 episodes h/o right flank pain radiating to lower abdomen. h/o palpitation+ no h/o fever/decreased urine output / burning micturition. ECG done showed this changes diagnosis and treatment?

27yr female c/o pain in abdomen on and off since 1month. pain in aggaravates aftr taking food n she c/o loss of appetite. she dont hv c/o loose motion or bloody stool. plz suggest management.

42 year old female patient with chest pain and nausea since early morning b/p 128/70 p 80 spo2 93 mx and dx??

A 48yrs old male pt. k/c/o:- HTN but on irregular t/t. c/o:- Abdo. pain , vomitting ECG DIAGNOSIS?

60 year old female on treatment of T2DM (controlled on OHAs) presented with distention of abdomen and feeling of discomfort. Attached is her usg report. She has minimal ascitis with GB sludge. Kindly advise further line of treatment