Podcast #30: Pancreatitis

78f5bb22-2440-4cb7-88b5-80c61ea2d4cbRun Time: 5 minutes

Author: Dr. Samuel Killian

Educational Pearls:

  • Acute pancreatitis care can be very different from someone with chronic pancreatitis – mortality rate is high at 6-10% for acute pancreatitis.
  • 90% of pancreatitis cases are from alcohol and biliary disease. The remainder of cases are from medication, auto-immune, trauma, hyperlipidemia, and idiopathic causes.
  • True diagnosis of pancreatitis needs 2-5 times the normal lipase level – appendicitis and trauma may elevate lipase level.
  • Signs of significant dehydration, significant hypoperfusion, or any evidence of SIRS criteria generally indicated that a patient will become very sick.
  • There are multiple scoring systems for admission and treatment options – Ranson’s criteria, APACHE 2 criteria.

Link to Podcast:  http://medicalminute.madewithopinion.com/pancreatitis/

References:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2886461/

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