Epigastric / LUQ pain:
  • Invariably with nausea / vomiting
  • Tendeness on exam
Especially suspect if:
  • Pain radiates to back
  • Pain relieved by leaning forward [also true of pericarditis]
Risk Factors:
  • Recent heavy alcohol
  • Gallstones
  • Hypertriglyceridemia (TGs >500-1000)

Diagnosis:  Serum Lipase.

Most patients require admission for n.p.o. and hydration.  CT scan advised (identifies complications).

See posting Abdominal Pain – 1.