what are the most common causes of acute pancreatitis?
90%
Alcohol
Cholelithiasis
What are other causes of Pancreatitis?
Trauma
HyperTAG
infection
Drugs
Allergy
obstruction
Scorpion sting
what is the presentation of pancreatitis?
Acute epigastric pain + Tenderness + N/V
Hypotension and fever may be present
What is the best initial test for acute pancreatitis?
Amylase/Lipase
what is the most specific test for acute pancreatitis?
CT scan with IV and oral contrast to better define and outline structures
what is extensive necrosis mean?
>30% necrosis
what is the treatment for acute pancreatitis?
NPO
IV hydration
Analgesia
PPI
>30% necrosis = Abx (imipenem or meropenem)
what is the only way to confirm an infection causing acute pancreatitis?
Biopsy
what is the what to treat infected necrotic pancreatitis?
Surgical debridement to prevent ARDS and death
how to treat a psuedocyst with pancreatitis?
drain with a needle if enlarged or painful
when do you use an ERCP in acute pancreatitis?
removing stones or place stent