REBEL Core Cast 64.0 – Acute Pancreatitis

Take Home Points

• Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipase 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

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