A 36-year-old with severe epigastric pain and elevated lipase 3× ULN is diagnosed with acute pancreatitis, suspected gallstones, no cholangitis and n...

Question

A 36-year-old with severe epigastric pain and elevated lipase >3× ULN is diagnosed with acute pancreatitis, suspected gallstones, no cholangitis and no organ failure. What early management is recommended?

Accepted Answer

Early aggressive IV lactated Ringer's and early oral feeding as tolerated

Answer

Prophylactic broad-spectrum antibiotics

Answer

Total parenteral nutrition for 5 days

Answer

ERCP within 24 hours for all gallstone pancreatitis

Answer

Restrict fluids to avoid third spacing

us-abem MCQ (SBA): Acute pancreatitis

A 36-year-old with severe epigastric pain and elevated lipase >3× ULN is diagnosed with acute pancreatitis, suspected gallstones, no cholangitis and no organ failure. What early management is recommended?