Acute Pancreatitis

  • Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipase 3x normal, CT scan)
  • A RUQ US should be performed looking for gallstones as this finding significantly alters management
  • The focus of management is on supportive care. IV fluids, while central to therapy, should be given judiciously and titrated to end organ perfusion
  • BISAP Score (Wu 2008Papachristou 2010) is a clinical score used to predict mortality from pancreatitis.

  • Patients with mild pancreatitis who are tolerating oral intake and can reliably follow up, can be discharged home

 

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