Question

A 56-year-old man presents with severe central abdominal pain radiating to the back, vomiting, and a history of heavy alcohol use. Serum amylase is markedly elevated. His vital signs show tachycardia and mild hypotension. What is the most important initial management step?

Accepted Answer

Begin early aggressive IV crystalloid fluid resuscitation

Answer

Start high-dose IV Morphine and delay fluids to avoid overload

Answer

Give broad-spectrum antibiotics to all patients with pancreatitis

Answer

Arrange urgent ERCP in all cases

Answer

Discharge with oral analgesia and review in 24 hours

Practice question

A 56-year-old man presents with severe central abdominal pain radiating to the back, vomiting, and a history of heavy alcohol use. Serum amylase is markedly elevated. His vital signs show tachycardia and mild hypotension. What is the most important initial management step?