Question

A 52-year-old with peptic ulcer disease has upper abdominal pain; labs show lipase 1,200 U/L, mild pancreatitis from gallstones, stable. What early management is recommended?

Accepted Answer

Early oral feeding with low-fat solid diet within 24-48 hours as tolerated and lactated Ringer's for fluids

Answer

Keep NPO for 72 hours; TPN on day 2

Answer

Immediate ERCP in all gallstone pancreatitis cases

Answer

Prophylactic antibiotics

Answer

Restrict fluids to avoid third spacing

Practice question

A 52-year-old with peptic ulcer disease has upper abdominal pain; labs show lipase 1,200 U/L, mild pancreatitis from gallstones, stable. What early management is recommended?