Question

A 48-year-old with acute pancreatitis due to gallstones presents 10 hours after onset with lipase 3× ULN and typical pain. Best initial management?

Accepted Answer

Aggressive isotonic IV fluids and early enteral nutrition as tolerated

Answer

Immediate ERCP for all gallstone pancreatitis

Answer

Routine prophylactic antibiotics

Answer

NPO for 5 days

Answer

Total parenteral nutrition on admission

Practice question

A 48-year-old with acute pancreatitis due to gallstones presents 10 hours after onset with lipase 3× ULN and typical pain. Best initial management?