Question

A 58-year-old man with a history of alcohol excess presents with a 2-day history of severe epigastric pain radiating to his back, associated with nausea and vomiting. His serum amylase is 1200 U/L (normal <100 U/L). What is the most likely diagnosis?

Accepted Answer

Acute pancreatitis

Answer

Peptic ulcer perforation

Answer

Acute cholecystitis

Answer

Myocardial infarction

Answer

Bowel obstruction

Practice question

A 58-year-old man with a history of alcohol excess presents with a 2-day history of severe epigastric pain radiating to his back, associated with nausea and vomiting. His serum amylase is 1200 U/L (normal <100 U/L). What is the most likely diagnosis?