Question

A 50-year-old presents with acute epigastric pain radiating to the back and elevated lipase >3× ULN. Hemodynamics are stable. Which early management is recommended?

Accepted Answer

Early aggressive isotonic fluid resuscitation with lactated Ringer's

Answer

Prophylactic broad-spectrum antibiotics

Answer

Early enteral feeding within 72 hours only after pain resolves

Answer

ERCP for all cases within 24 hours

Answer

Total parenteral nutrition

Practice question

A 50-year-old presents with acute epigastric pain radiating to the back and elevated lipase >3× ULN. Hemodynamics are stable. Which early management is recommended?