- 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
REBEL Core Cast 64.0 – Acute Pancreatitis
- REBEL EM: Acute Pancreatitis
Post Peer Reviewed By: Salim R. Rezaie, MD (Twitter: @srrezaie)
Cite this article as: Anand Swaminathan, "REBEL Core Cast 64.0 – Acute Pancreatitis", REBEL EM blog, September 15, 2021. Available at: https://rebelem.com/rebel-core-cast-64-0-acute-pancreatitis/.
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Clinical Assistant Professor of Emergency Medicine at St. Joe's Regional Medical Center (Paterson, NJ)
REBEL EM Associate Editor and Author