REBEL Core Cast 64.0 – Acute Pancreatitis

Marco Torres on 09/15/2021

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

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