Acute pancreatitis Quiz: Ace Your Exams
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A 33-year-old man presents to the emergency department with a 2-day history of severe upper abdominal pain that radiates to his back, as well as nausea and vomiting. The pain began after a large, fatty meal and persisted for several hours. Past medical history is unremarkable. The patient drinks alcohol occasionally on weekends. BMI is 31 kg/m2. Temperature is 38.9°C (°F), blood pressure is 103/75 mmHg, pulse is 80/min, and respiratory rate is 18/min. On physical examination, the patient appears in distress, and jaundiced, and his abdomen is tender to palpation in the epigastrium. Laboratory results are shown below. CT scan of the abdomen is significant for peripancreatic fat stranding, pancreatic edema, peripancreatic necrosis and common bile duct dilation. The patient is provided with intravenous fluids, analgesia, bowel rest, and broad-spectrum IV antibiotics. Which of the following is the best next step in management?


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