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Acute pancreatitis — MCCQE Part 1 MCQ

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ModerateAbdominal PainAcute pancreatitisMCCQE Part 1

A 50-year-old man has severe epigastric pain radiating to back after heavy alcohol. Lipase 1200. HR 110, BP 100/60. Most important initial step?

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Correct answer: D — Aggressive IV fluid resuscitation with crystalloid

Acute pancreatitis: aggressive early IV fluid resuscitation with LR. ERCP only for biliary pancreatitis with cholangitis. CT deferred 72-96 hours unless uncertainty.

Reference: Canadian Association of Gastroenterology