Question

A 44-year-old woman with gallstones presents with acute epigastric pain radiating to the back, elevated serum lipase and mild haemodynamic compromise. What is the cornerstone of her initial management?

Accepted Answer

Aggressive intravenous fluid resuscitation and analgesia

Answer

Early ERCP in all cases

Answer

Immediate laparoscopic cholecystectomy

Answer

Prophylactic antibiotics for all patients

Answer

Oral intake as tolerated from presentation

Practice question

A 44-year-old woman with gallstones presents with acute epigastric pain radiating to the back, elevated serum lipase and mild haemodynamic compromise. What is the cornerstone of her initial management?