A 54-year-old man presents with sudden onset severe epigastric pain radiating to the back, associated with vomiting. He drinks 8-10 standard drinks of...

Question

A 54-year-old man presents with sudden onset severe epigastric pain radiating to the back, associated with vomiting. He drinks 8-10 standard drinks of alcohol daily. Serum lipase is 2,000 U/L (normal

Accepted Answer

Aggressive IV fluid resuscitation and analgesia

Answer

Start broad-spectrum IV antibiotics

Answer

Commence early enteral nutrition via nasojejunal tube

Answer

Arrange urgent ERCP

Answer

Start high-dose IV proton pump inhibitor

au-amc MCQ (SBA): Acute pancreatitis

A 54-year-old man presents with sudden onset severe epigastric pain radiating to the back, associated with vomiting. He drinks 8-10 standard drinks of alcohol daily. Serum lipase is 2,000 U/L (normal <60 U/L). What is the most appropriate initial management priority?