Question

A 24-year-old man presents with sudden onset severe central abdominal pain radiating to the back after a heavy alcohol binge. Serum amylase is raised at three times the upper limit of normal and ultrasound shows no gallstones. What is the most appropriate initial management setting and approach?

Accepted Answer

Admit for supportive care including intravenous fluids, analgesia and close monitoring

Answer

Discharge home with oral analgesia and arrange outpatient ultrasound review

Answer

Start high-dose steroids and discharge

Answer

Start broad-spectrum antibiotics routinely and manage as outpatient

Answer

Arrange immediate ERCP with sphincterotomy

Practice question

A 24-year-old man presents with sudden onset severe central abdominal pain radiating to the back after a heavy alcohol binge. Serum amylase is raised at three times the upper limit of normal and ultrasound shows no gallstones. What is the most appropriate initial management setting and approach?