12 Hours Of Severe in Medicine / Internal Medicine — 42yo Man | Gastroenterology | SMLE Q#17621
SMLE Question #17621
Medicine / Internal Medicine
Gastroenterology
Objective: OBJ-433
Last updated: February 2026
A 42-year-old man presents to the emergency department with 12 hours of severe epigastric pain radiating to the back with nausea and vomiting after heavy alcohol intake over the weekend. Examination shows epigastric tenderness without guarding or rebound. Upright chest radiograph shows no free subdiaphragmatic air. Which investigation is most helpful to establish the diagnosis?
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