Question

A 52-year-old man with chronic alcohol use presents with epigastric pain radiating to back; lipase is three times the upper limit of normal. Which management step is appropriate initially?

Accepted Answer

Aggressive IV fluids and analgesia

Answer

Nil by mouth and routine antibiotics

Answer

Immediate ERCP for all

Answer

Total parenteral nutrition day 1

Answer

Oral morphine only

Practice question

A 52-year-old man with chronic alcohol use presents with epigastric pain radiating to back; lipase is three times the upper limit of normal. Which management step is appropriate initially?