CTAS 2. A 47-year-old has epigastric pain radiating to the back, vomiting, and lipase 1,800 U/L. ALT is 260 U/L, bilirubin 48 µmol/L, and ultrasound

Question

CTAS 2. A 47-year-old has epigastric pain radiating to the back, vomiting, and lipase 1,800 U/L. ALT is 260 U/L, bilirubin 48 µmol/L, and ultrasound shows gallstones without duct dilatation. BP is 118/74 after fluids. What is the most appropriate disposition?

Accepted Answer

Admit for pancreatitis care and surgical evaluation

Answer

Outpatient MRCP in 6 weeks

Answer

Immediate ERCP for every case

Answer

Psychiatric admission for pain control

Answer

Discharge with oral analgesia

Gallstone pancreatitis — RCPSC EM MCQ

CTAS 2. A 47-year-old has epigastric pain radiating to the back, vomiting, and lipase 1,800 U/L. ALT is 260 U/L, bilirubin 48 µmol/L, and ultrasound shows gallstones without duct dilatation. BP is 118/74 after fluids. What is the most appropriate disposition?