The Internet Book of Critical Care Podcast IBCC Episode 8 - Pancreatitis
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Oct 25, 2018 This podcast covers the diagnosis, treatment, and management of pancreatitis. It discusses the role of lipase in diagnosis, diagnostic markers and imaging techniques, next steps in diagnosis and treatment, management of superinfections, potential complications, pain management strategies, and a checklist for evaluating the cause of pancreatitis.
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Pancreatitis Diagnosis
- Diagnose pancreatitis with 2 of 3 criteria: lipase 3x upper limit, clinical history, and imaging.
- An amylase test is not necessary for diagnosis.
CT Scan Timing
- Initially, get a CT scan only if the diagnosis is uncertain.
- A CT scan is most useful for identifying complications after 5-7 days.
Post-Diagnosis Tests
- After diagnosis, order a right upper quadrant ultrasound, check triglycerides, and liver tests.
- Consider hypercalcemia, though rare, and hypertriglyceridemia if levels are over 1000.