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Episode 121.0 – Pancreatitis
Episode 121.0 – Pancreatitis
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Length:
14 minutes
Released:
Nov 13, 2017
Format:
Podcast episode
Description
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
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Tags: Gastroenterology, GI, Pancreatitis
Show Notes
[caption id="attachment_6188" align="aligncenter" width="593"] Ranson's Criteria for Pancreatitis-Associated Mortality (Rosen's)[/caption]
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
Released:
Nov 13, 2017
Format:
Podcast episode
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