Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with persistent epigastric pain radiating to the back, associated with nausea, early satiety, and abdominal fullness. History significant for recent episode of acute pancreatitis [Number] weeks ago. No current fever, chills, or hematemesis. Pain is exacerbated by oral intake.
Clinical Examination Findings
Abdomen: Soft, non-distended, with a palpable, tender, well-defined epigastric mass. Bowel sounds present. No rebound tenderness or guarding. Stable vital signs. No signs of peritonitis.
Treatment Protocol
Plan: 1. NPO status or clear liquid diet as tolerated. 2. Analgesia for pain management. 3. Serial abdominal ultrasound/CT imaging to monitor pseudocyst size. 4. Consider endoscopic ultrasound (EUS)-guided drainage if symptomatic, enlarging, or complicated by infection/obstruction. 5. Monitor amylase/lipase levels.