Acute Pancreatitis

Etiology

I GET SMASHED

I diopathic

G allstones

E thanol

T rauma

S teroids

M umps

A utoimmune

S corpion Venom (Trinidad)

H ypothermia / Hyperlipidaemia

E RCP

D rugs

Mgmt

1. Fluid
2. Pain Control
3. Gut rest
4. Abx (if +WBC, +fever, etc.)

Predicting Severity using Ranson’s Criteria

On admission…

G. A. L A W

Age > 55

WBC > 16,000 cells/mm3

Glu > 11 mmol/L or 200 mg/dL

AST > 250 IU/L

LDH > 350 IU/L

@ 48 hrs…

C. H O B B S

Ca 10% drop

O2 4 mEq/L

Sequestration of fluids > 6 L

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