Pancreas

(MCQ)

45 year old female was admitted in ED with pain in abdomen and vomiting of two days duration Amylase and lipase is elevated. USG shows multiple gall stones. LFT- Bil 4.5/3.5, OT-110, PT-120. TLC count is 12000. Next management A- IV fluids, Octreotide, NPO B-IV fluids, tramadol C-IV fluids, IV antibiotics and ERCP with stent placement D-MRCP

Explanation:

Diagnosis is Biliary pancreatitis = mild

MANAGEMENT OF MILD / MODERATE PANCREATITIS:

• IV Antibiotics no role without sepsis
• ERCP + stent = if only CHOLANGITIS IS present
• OCTREOTIDE = No role