Question 37 · LEK · Acute pancreatitis
A 35-year-old patient came to the ED complaining of a severe epigastric pain. The symptoms have lasted for over a dozen hours. Laboratory tests showed increased WBC, CRP and bilirubin concentration, decreased calcium ion concentration, increased activity of aminotransferases, amylase, lipase, LDH, GGTP and basic phosphatase. Abdominal ultrasound imaging showed a distension of intrahepatic bile ducts and blurred pancreatic outline. Indicate the correct management of this patient:
- A. suspicion of acute hepatitis and diagnostics directed at a viral infection. 13 z 117 29.06.2026, 14:15 Centrum Egzaminów Medycznych https://test.cem.edu.pl/pytcem/wyswietl_baza_pdf.php
- B. diagnosis of the perforation of a gastric ulcer and urgent laparotomy.
- C. diagnosis of acute pancreatitis related to cholelithiasis and the preparation of the patient for ECPW.
- D. suspicion of an aortic aneurysm rupture based on the blurred outline of the pancreas.
- E. presented data are too scarce to formulate the diagnosis.
Hint
Combine epigastric pain and raised pancreatic enzymes with the cholestatic pattern and dilated intrahepatic ducts to locate the cause.
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