A 36-year-old with mild acute pancreatitis due to gallstones is admitted. Lipase is 3x ULN; no cholangitis. What is the recommended initial managemen...

Question

A 36-year-old with mild acute pancreatitis due to gallstones is admitted. Lipase is >3x ULN; no cholangitis. What is the recommended initial management?

Accepted Answer

Goal-directed lactated Ringer's resuscitation and early enteral feeding; avoid routine prophylactic antibiotics

Answer

Aggressive normal saline at 5 L over 6 hours and NPO for 72 hours

Answer

Prophylactic broad-spectrum antibiotics for 7 days

Answer

Immediate ERCP for all biliary pancreatitis

Answer

Total parenteral nutrition on day 1

us-abim MCQ (SBA): Acute Pancreatitis

A 36-year-old with mild acute pancreatitis due to gallstones is admitted. Lipase is >3x ULN; no cholangitis. What is the recommended initial management?