A 52-year-old man presents with severe epigastric pain radiating to the back after heavy alcohol intake. Serum amylase is three times the upper limit ...

Question

A 52-year-old man presents with severe epigastric pain radiating to the back after heavy alcohol intake. Serum amylase is three times the upper limit of normal. Which of the following is the most appropriate initial management?

Accepted Answer

Nil by mouth, aggressive intravenous crystalloid fluids, adequate analgesia and monitoring

Answer

Immediate ERCP for all cases

Answer

Start prophylactic broad-spectrum antibiotics in all cases

Answer

Oral opioids and discharge once pain settles

Answer

High-dose steroids to reduce inflammation

uk-plab-1 MCQ (SBA): Acute pancreatitis

A 52-year-old man presents with severe epigastric pain radiating to the back after heavy alcohol intake. Serum amylase is three times the upper limit of normal. Which of the following is the most appropriate initial management?