A 55-year-old man presents with epigastric pain radiating to the back, worse after meals, and associated with weight loss. He has a history of heavy a...

Question

A 55-year-old man presents with epigastric pain radiating to the back, worse after meals, and associated with weight loss. He has a history of heavy alcohol use. Serum lipase is markedly elevated, and CT abdomen shows pancreatic inflammation without necrosis. Which is the most appropriate initial management?

Accepted Answer

Aggressive IV fluid resuscitation, analgesia, and early enteral nutrition

Answer

Immediate ERCP in all cases

Answer

Prophylactic broad-spectrum antibiotics in all cases

Answer

Total parenteral nutrition only

Answer

Discharge home with oral analgesia

ca-mccqe1 MCQ (SBA): Acute pancreatitis - initial management