ABEM Qualifying Examination (QE)

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A patient presents with midepigastric pain radiating to the back, nausea, and elevated lipase 3× the upper limit of normal. What is the cornerstone of initial management?

Immediate ERCP IV fluid resuscitation and NPO Urgent cholecystectomy Nasogastric tube decompression

Correct Answer:

IV fluid resuscitation and NPO

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