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Acute pancreatitis – lipase criteria — RACP Paediatrics MCQ

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EasyGIAcute pancreatitis – lipase criteriaRACP Paediatrics

A 10-year-old presents with epigastric pain radiating to the back, vomiting, and tenderness in the epigastrium. Serum lipase is 8 times the upper limit of normal. No gallstones on ultrasound. No medication history. What is the most likely diagnosis?

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Correct answer: E — Acute pancreatitis

Epigastric pain radiating to the back with lipase ≥3 times ULN meets the revised Atlanta criteria for acute pancreatitis (2 of 3 criteria: characteristic pain, lipase/amylase ≥3× ULN, imaging findings). Management is supportive: IV fluids, analgesia, nil by mouth initially with early reintroduction of enteral nutrition when tolerated.

Reference: RCH Melbourne – 2023 – Pancreatitis CPG; RACP Paediatric Curriculum – GI