January 07, 2024

Acute Pancreatitis (Inpatient) - Full Episode

20 minutes

This full-length episode on the inpatient management of acute pancreatitis includes not only the admission framework, but also key clinical pearls on the background, pathophysiology, etiologies, presentation, diagnosis, treatment, and complications associated with the disease to help take your understanding to the next level!

Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.

Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.

Timestamps

00:00:00 - Background and Epidemiology

00:01:13 - A Note on Chronic Pancreatitis

00:01:31 - Admission Checklist

00:03:49 - HPI Intake

00:04:33 - Physical Exam

00:05:20 - Etiology and Differential

00:06:20 - Plan - Work Up

00:07:30 - Plan - Treatment

00:09:31 - If You Remember Nothing Else

00:10:04 - Pearls - Pathophysiology

00:11:15 - Pearls - Etiology and Risk Factors

00:12:56 - Pearls - Presentation and Diagnosis

00:15:56 - Pearls - Treatment

00:18:08 - Pearls – Complications

Show Notes

Reviews

Acute Pancreatitis: A Review ⁠(JAMA, 2021)⁠

Acute Pancreatitis ⁠(NEJM, 2016)

Trials

WATERFALL Trial - Aggressive (20 ml/kg bolus + 3 ml/kg/hr) vs Non-Aggressive (10 ml/kg bolus + 1.5 ml/kg/hr) fluid resuscitation in acute pancreatitis - fluid overload resulted in 20.5% vs 6.3% of patients but no difference in the development of moderately severe or severe pancreatitis ⁠(NEJM, 2022)

Other Literature

Enteral versus parenteral nutrition for acute pancreatitis ⁠(Cochrane, 2010)⁠

A Critical Evaluation of Laboratory Tests in Acute Pancreatitis ⁠(Am J Gastroenterol, 2002)

Blogs and Summaries

Clinical Problem Solvers - Acute Pancreatitis Illness Script

Internet Book of Critical Care - Pancreatitis

Radiopaedia - Imaging Findings in Acute Pancreatitis

Pathway Guidelines Summary - Acute Pancreatitis

...more