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

  • Systolic arterial pressure <80 mmHg or mean arterial pressure <60 mmHg or diastolic arterial pressure >120 mmHg
  • Respiratory rate >35 breaths/minute
  • Serum sodium <110 mmol/L or >170 mmol/L
  • Serum potassium <2.0 mmol/L or >7.0 mmol/L
  • PaO2 <50 mmHg
  • pH <7.1 or >7.7
  • Serum glucose >800 mg/dL
  • Serum calcium >15 mg/dL
  • Anuria
  • Coma

 

 

 

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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

Latest posts by Jay Khadpe MD (see all)

Categories: Gastroenterology

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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