Jake Merkel

A 43-year-old man presents to the emergency department with severe upper abdominal pain radiating to his back, with nausea and vomiting. Focus on explaining the diagnosis, initiating acute management, and discussing lifestyle modification.

1. 1Explain the diagnosis and its significance to the patient
2. 2Initiate acute management including IV fluids and analgesia
3. 3Discuss admission and monitoring requirements
4. 4Counsel on lifestyle modification including alcohol cessation
5. 5Arrange appropriate follow-up and safety-net advice