A 57 year-old male presents to the urgent care clinic with c…
A 57 year-old male presents to the urgent care clinic with chief complaint of severe abdominal pain, nausea, vomiting. His labs show elevated WBC, amylase three times the upper limit of normal, elevated lipase, and elevated hematocrit. He is unable to tolerate food or fluids. Upon exam, he is generally ill appearing, actively moaning and grabbing his abdomen, has diffuse tenderness to upper abdomen, and you notice discoloration around the umbilicus. What is the most appropriate treatment plan for this patient?