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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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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