A 46-year-old man arrives as ESI 2 with severe epigastric pain radiating to the back after heavy alcohol use. BP 104/68, HR 116, RR 24. Lipase is

Question

A 46-year-old man arrives as ESI 2 with severe epigastric pain radiating to the back after heavy alcohol use. BP 104/68, HR 116, RR 24. Lipase is 1500 U/L, BUN is 32 mg/dL, and creatinine is 1.8 mg/dL. Which of the following is the most likely diagnosis?

Accepted Answer

Acute pancreatitis

Answer

Small bowel obstruction

Answer

Renal colic

Answer

Inferior myocardial infarction

Answer

Perforated appendicitis

Acute pancreatitis — ABEM Board MCQ

A 46-year-old man arrives as ESI 2 with severe epigastric pain radiating to the back after heavy alcohol use. BP 104/68, HR 116, RR 24. Lipase is 1500 U/L, BUN is 32 mg/dL, and creatinine is 1.8 mg/dL. Which of the following is the most likely diagnosis?