Question

A 58-year-old man presents with severe epigastric pain radiating to the back, nausea, and vomiting after a binge of alcohol. Serum lipase is 1,200 U/L (three times the upper limit of normal), and ultrasound shows no gallstones. What is the most appropriate diagnosis?

Accepted Answer

Acute pancreatitis

Answer

Acute cholecystitis

Answer

Peptic ulcer disease

Answer

Acute myocardial infarction

Answer

Acute appendicitis

Practice question

A 58-year-old man presents with severe epigastric pain radiating to the back, nausea, and vomiting after a binge of alcohol. Serum lipase is 1,200 U/L (three times the upper limit of normal), and ultrasound shows no gallstones. What is the most appropriate diagnosis?