A 64-year-old man presents with acute severe epigastric pain radiating to the back after a heavy meal and binge drinking. Serum amylase and lipase are...

Question

A 64-year-old man presents with acute severe epigastric pain radiating to the back after a heavy meal and binge drinking. Serum amylase and lipase are markedly elevated. He is haemodynamically stable. What is the most appropriate initial management?

Accepted Answer

Aggressive IV fluid resuscitation, analgesia and bowel rest with early assessment of severity

Answer

Immediate ERCP for all cases

Answer

Start broad-spectrum antibiotics in all cases

Answer

Immediate laparotomy

Answer

No fluids until pain settles

au-amc MCQ (SBA): Acute pancreatitis

A 64-year-old man presents with acute severe epigastric pain radiating to the back after a heavy meal and binge drinking. Serum amylase and lipase are markedly elevated. He is haemodynamically stable. What is the most appropriate initial management?