Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of epigastric pain radiating to the back, associated with nausea and non-bilious vomiting. No signs of systemic inflammatory response syndrome (SIRS), organ failure, or local complications. Patient is hemodynamically stable and tolerating oral intake.
Clinical Examination Findings
General: Patient is alert, oriented, and in mild distress due to pain. Abdomen: Soft, epigastric tenderness present, no guarding or rebound tenderness. Bowel sounds present. Cardiovascular: Regular rate and rhythm, no murmurs. Respiratory: Clear to auscultation bilaterally. No signs of jaundice or skin stigmata of pancreatitis.
Treatment Protocol
Management: Aggressive intravenous fluid resuscitation with isotonic crystalloids. Analgesia with IV acetaminophen or NSAIDs. Early initiation of oral diet as tolerated. Monitoring of vital signs and urine output. Thromboprophylaxis if indicated. Serial assessment for signs of clinical deterioration.