A 52-year-old man with a history of binge drinking presents with acute epigastric pain radiating to the back. Serum lipase is three times the upper li...

Question

A 52-year-old man with a history of binge drinking presents with acute epigastric pain radiating to the back. Serum lipase is three times the upper limit of normal. According to Canadian acute pancreatitis management principles, what is the cornerstone of initial management?

Accepted Answer

Early aggressive IV fluid resuscitation with crystalloids and pain control

Answer

Immediate ERCP in all patients

Answer

Routine prophylactic antibiotics

Answer

Prolonged fasting with total parenteral nutrition from day 1

Answer

Early surgery for all cases

ca-mccqe1 MCQ (SBA): Acute pancreatitis initial management

A 52-year-old man with a history of binge drinking presents with acute epigastric pain radiating to the back. Serum lipase is three times the upper limit of normal. According to Canadian acute pancreatitis management principles, what is the cornerstone of initial management?