A 37-year-old with epigastric pain and vomiting has lipase 1200 U/L. At 24 hours, haematocrit rises, creatinine is 190 µmol/L, calcium is low, and he

Question

A 37-year-old with epigastric pain and vomiting has lipase 1200 U/L. At 24 hours, haematocrit rises, creatinine is 190 µmol/L, calcium is low, and he needs escalating oxygen. What is the most appropriate disposition?

Accepted Answer

Admission to monitored care or ICU-capable setting for severe acute pancreatitis

Answer

Psychiatric observation for alcohol counselling as the sole plan

Answer

Direct outpatient MRCP without admission

Answer

Same-day elective cholecystectomy from the ED

Answer

Discharge with oral fluids if pain improves

Severe acute pancreatitis — RCPSC EM MCQ

A 37-year-old with epigastric pain and vomiting has lipase 1200 U/L. At 24 hours, haematocrit rises, creatinine is 190 µmol/L, calcium is low, and he needs escalating oxygen. What is the most appropriate disposition?