The Clinical Problem Solvers Episode 257: Schema Episode – All Things Pancreatic! Pancreatitis, Pancreatitis Complications, and Pancreatic Mass
Sep 26, 2022
In this episode, the hosts discuss a case involving a 68-year-old man with recurrent pancreatitis and jaundice. They cover the diagnosis and complications of acute pancreatitis, the clinical presentation and diagnostic approach for jaundice, the causes of liver dysfunction, and the challenges of diagnosing a pancreatic mass. They also reflect on the relationship between alcohol use disorder and pancreatic health.
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Episode notes
Diagnosing Pancreatitis
- Consider alcohol, gallstones, and triglycerides as common causes of acute pancreatitis.
- For recurrent cases, also consider duct obstruction, genetic factors, and autoimmunity.
Pancreatitis Complications
- Pancreatitis complications can be systemic (like ARDS and AKI) or local.
- Local complications include fluid collections, which can mature into pseudocysts or walled-off necrosis.
Diagnosing Jaundice
- Check direct bilirubin to determine if hyperbilirubinemia is conjugated or unconjugated.
- Indirect causes include hemolysis, heart failure, or Gilbert's syndrome.