Here’s Dr. Aldokhi with today’s Morning Report!
Pancreatitis
Epidemiology | – Annual incidence of acute pancreatitis range from 4.9 to 35 per 100,000
– Mortality1.5 percent in mild pancreatitis & 17 percent in severe pancreatitis – Alcoholic pancreatitis is more common in men than in women |
Classification | – Acute and Chronic
– Mild and Severe |
Pathophysiology | 1st local inflammation
2nd release of digestive enzymes and auto digestion |
Etiology | 1- Mechanical (Gall stone)
2- Toxic (alcohol) 3- Metabolic (Ca, Trig) 4- Infectious 5- Trauma 6- idiopathic |
Diagnosis | – Sx and Sx
– Labs (lipase), LFT, LDH, CBC, – US – CT |
Criteria | – Ranson – APACHE
– Atlanta Criteria for Predicting Severe Acute Pancreatitis |
Management | Supportive
IV fluid 5-10ml/kg monitor UOP NPO? Opioid |
ICU Or Floor | Pulse <40 or >150 beats/minute
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The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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Jay Khadpe MD
Editor in Chief of "The Original Kings of County"
Assistant Professor of Emergency Medicine
Assistant Residency Director
SUNY Downstate / Kings County Hospital
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