Question

A 72-year-old woman with a history of peptic ulcer presents with acute severe epigastric pain radiating to the back after a binge of alcohol. Amylase is 900 IU/L. What is the most appropriate initial management?

Accepted Answer

NPO, IV fluids, analgesia, and admit

Answer

Oral fluids and discharge

Answer

Immediate ERCP

Answer

Start antibiotics immediately

Answer

Urgent cholecystectomy

Practice question

A 72-year-old woman with a history of peptic ulcer presents with acute severe epigastric pain radiating to the back after a binge of alcohol. Amylase is 900 IU/L. What is the most appropriate initial management?