QuestionSBA
QuestionChoice
Acute appendicitis is an important acute abdomen differential but classically presents with acute diffuse abdominal pain that localises to the right iliac fossa, not epigastric pain.
10000258
c
Acute appendicitis
QuestionChoice
Acute pancreatitis classically presents with severe epigastric pain and vomiting. Pain in acute pancreatitis may also radiate to the back. The recent ERCP is a major risk factor for iatrogenic acute pancreatitis. Other causes of acute pancreatitis include gallstones, alcohol abuse, and autoimmune aetiologies amongst others.
10000256
a
Acute pancreatitis
QuestionChoice
Although a history of gallstones may indicate acute cholecystitis, this condition typically presents with right upper quadrant pain and fever. Furthermore, the recent ERCP is an important risk factor for iatrogenic acute pancreatitis.
10000257
b
Gallstones
QuestionChoice
Biliary colic typically presents with intermittent right upper quadrant pain, and patients are typically systemically well. This makes biliary colic an unlikely diagnosis in this case.
10000260
e
Biliary colic
QuestionChoice
Small bowel obstruction is another important differential, though a history may include total constipation and vomiting is often bilious.
10000259
d
Small bowel obstruction
Concept
Chapter
2693
3730
Acute Pancreatitis
Topic
136
Gastroenterology
12598
A 54-year-old female on the general surgery ward is assessed for severe epigastric abdominal pain that radiates to the back and vomiting. An abdominal exam reveals epigastric tenderness and abdominal distension. She underwent an ERCP for gallstones 4 hours ago.

What is the most likely diagnosis?
a