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Hard Sunday, Sep 20 Gastroenterology
đŸ‘Ĩ 43 Clinical Minds solved this

Epigastric Pain to Back

45M with heavy alcohol use develops severe epigastric pain radiating to the back with repeated vomiting. Lipase is markedly elevated. This is a teaching case selected for the September 2026 daily challenge.
VITALS: HR 112, BP 104/68

❓ What is the most likely diagnosis?

💡

Clinical Analysis

Diagnosis: Acute pancreatitis
Key Insight

Severe epigastric pain radiating to the back with markedly elevated lipase is classic acute pancreatitis. The diagnosis should be made from the overall clinical pattern rather than a single isolated clue.

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ENT â€ĸ 2025-12-10
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Feeling Down
Psychiatry â€ĸ 2025-12-09
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The Fallen Senior
Orthopedics â€ĸ 2025-12-08
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Unilateral Headache
Medicine â€ĸ 2025-12-07
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The Itchy Rash
Dermatology â€ĸ 2025-12-06
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Tremors at Rest
Medicine â€ĸ 2025-12-05
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Sudden Collapse
OBGYN â€ĸ 2025-12-04
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The Barking Child
Pediatrics â€ĸ 2025-12-03
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Midnight Pain
Surgery â€ĸ 2025-12-02
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The Persistent Cough
Medicine â€ĸ 2025-12-01
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