November 13, 2017

Episode 121.0 – Pancreatitis

13 minutes

This week we dive into the diagnosis and management of pancreatitis in the ED

https://media.blubrry.com/coreem/content.blubrry.com/coreem/Episode_121_0_Final_Cut.m4a

Download

Leave a Comment

Tags: Gastroenterology, GI, Pancreatitis

Show Notes

Ranson’s Criteria for Pancreatitis-Associated Mortality (Rosen’s)

Take Home Points

Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipsae 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

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

Read More

Hemphill RR, Santen SA: Disorders of the Pancreas; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2010, (Ch) 91: p 1205-1226

PulmCrit: The Myth of Large-Volume Resuscitation in Acute Pancreatitis

PulmCrit: Hypertriglyceridemic Pancreatitis: Can We Defuse the Bomb?

...more