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06 / Hepatobiliary Surgery · clerkship

Epigastric pain boring to the back

  1. ED
  2. Investigations
  3. Pre-Op
  4. OR
  5. Ward
  6. Debrief

Amylase 1,840

The pain is constant, boring through to the back, and eased slightly by sitting forward. Amylase is 1,840 U/L. She drinks minimally. Bilirubin is 34 micromol/L and alanine aminotransferase is 312 U/L.

Open in 3D: the pancreas and biliary tree

Which result points hardest at the cause?

SurgSpace TutorContext-aware, and it will not spoil the case.