A 43-year-old man presents with severe epigastric pain radiating to the back, vomiting and elevated serum lipase 3 times the upper limit of normal, c...

Question

A 43-year-old man presents with severe epigastric pain radiating to the back, vomiting and elevated serum lipase >3 times the upper limit of normal, consistent with acute pancreatitis. He is haemodynamically stable. What is the cornerstone of early management in the first 24 hours?

Accepted Answer

Early enteral nutrition and aggressive intravenous fluid resuscitation

Answer

Routine prophylactic broad-spectrum antibiotics

Answer

Urgent ERCP in all patients

Answer

Total parenteral nutrition

Answer

Immediate laparotomy

au-amc MCQ (SBA): Acute pancreatitis

A 43-year-old man presents with severe epigastric pain radiating to the back, vomiting and elevated serum lipase >3 times the upper limit of normal, consistent with acute pancreatitis. He is haemodynamically stable. What is the cornerstone of early management in the first 24 hours?