A 49-year-old woman with epigastric pain radiating to the back presents 12 hours after onset. Serum amylase is three times the upper limit of normal. ...

Question

A 49-year-old woman with epigastric pain radiating to the back presents 12 hours after onset. Serum amylase is three times the upper limit of normal. Ultrasound shows gallstones. What is the most appropriate initial management?

Accepted Answer

Aggressive intravenous fluid resuscitation and analgesia

Answer

Immediate ERCP for all cases

Answer

Start prophylactic broad-spectrum antibiotics for all cases

Answer

Discharge home with oral analgesia only

Answer

Immediate cholecystectomy within 12 hours in all cases

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

A 49-year-old woman with epigastric pain radiating to the back presents 12 hours after onset. Serum amylase is three times the upper limit of normal. Ultrasound shows gallstones. What is the most appropriate initial management?