Question

A 47-year-old man with chronic alcohol misuse presents with acute severe epigastric pain radiating to the back. Serum lipase is elevated. What is the best initial management step according to guidelines?

Accepted Answer

IV fluids and analgesia

Answer

Immediate ERCP

Answer

Broad-spectrum antibiotics

Answer

Total parenteral nutrition

Answer

Urgent surgical intervention

Practice question

A 47-year-old man with chronic alcohol misuse presents with acute severe epigastric pain radiating to the back. Serum lipase is elevated. What is the best initial management step according to guidelines?