A 58-year-old man with constant epigastric pain radiating to the back, elevated amylase and lipase three times normal, and risk factors of alcohol use...

Question

A 58-year-old man with constant epigastric pain radiating to the back, elevated amylase and lipase three times normal, and risk factors of alcohol use is admitted with acute pancreatitis. According to evidence-based practice, what is the most appropriate initial management?

Accepted Answer

Keep NPO, aggressive IV crystalloid resuscitation and analgesia

Answer

Immediate ERCP for all patients

Answer

Immediate prophylactic antibiotics

Answer

High-dose steroids

Answer

Early parenteral nutrition via central line in all cases

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

A 58-year-old man with constant epigastric pain radiating to the back, elevated amylase and lipase three times normal, and risk factors of alcohol use is admitted with acute pancreatitis. According to evidence-based practice, what is the most appropriate initial management?