A 43-year-old female awaiting a laparoscopic cholecystectomy presents with upper abdominal pain, nausea and vomiting.
The symptoms began quite suddenly earlier in the day and have persisted for several hours.
The patient is found to have:
A heart rate of 115 bpm
Blood pressure 85/5 5mmHg
Respiratory rate 23 bpm
Oxygen saturations 97%
Temperature 37.4°C
Examination reveals tenderness in the upper abdomen without rebound.
Time limit: 0
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Question 1 of 2
1. Question
In this patient gall stones is the likely cause of her pancreatitis. Which of the following are known causes of pancreatitis? (Select all that apply)
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Question 2 of 2
2. Question
Her initial investigations reveal a normal chest x-ray, mildly deranged LFTs and an amylase of 834. Her physiological status has improved a little with your initial management; HR 110, BP 94/60 mmHg, RR 18, SaO2 99%.
Which of the following are likely to form part of the patient's ongoing management? (Select all that apply)