Episode 121.0 – Pancreatitis
This week we dive into the diagnosis and management of pancreatitis in the ED
Show Notes
Ranson’s Criteria for Pancreatitis-Associated Mortality (Rosen’s)
Take Home Points
- Pancreatitis is diagnosed by a combination of clinical features (epigastric pain with radiation to back, nausea/vomiting etc) and diagnostic tests (lipsae 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
