Question

A 55-year-old man with a history of alcohol excess presents with acute onset severe epigastric pain radiating to his back, associated with nausea and vomiting. On examination, he is tender in the epigastrium. His amylase level is 1200 U/L (normal <100 U/L). What is the most likely diagnosis?

Accepted Answer

Acute pancreatitis

Answer

Perforated peptic ulcer

Answer

Acute cholecystitis

Answer

Myocardial infarction

Answer

Bowel obstruction

Practice question

A 55-year-old man with a history of alcohol excess presents with acute onset severe epigastric pain radiating to his back, associated with nausea and vomiting. On examination, he is tender in the epigastrium. His amylase level is 1200 U/L (normal <100 U/L). What is the most likely diagnosis?