The pain of pancreatitis is described as:
A. Abdominal sharp and piercing pain in the left upper quadrant
B. Dull and cramping pain in the right upper quadrant
C. Severe, epigastric pain radiating straight into the back
D. Sharp pain radiating to the shoulder
ANS: C
The pain of pancreatitis is severe, steady, and "boring"—radiating from the epigastric region through to the back. It is often accompanied by nausea and vomiting, tachycardia, hypotension, and diaphoresis. These symptoms are also seen in MI; however, the exquisite abdominal tenderness present in pancreatitis assists in differentiating it from cardiac pain.
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