Jan 07 2024 20 mins 4
This full-length episode on the inpatient management of acute pancreatitis includes not only the admission framework, but also key clinical pearls on the background, pathophysiology, etiologies, presentation, diagnosis, treatment, and complications associated with the disease to help take your understanding to the next level!
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps
00:00:00 - Background and Epidemiology
00:01:13 - A Note on Chronic Pancreatitis
00:01:31 - Admission Checklist
00:03:49 - HPI Intake
00:04:33 - Physical Exam
00:05:20 - Etiology and Differential
00:06:20 - Plan - Work Up
00:07:30 - Plan - Treatment
00:09:31 - If You Remember Nothing Else
00:10:04 - Pearls - Pathophysiology
00:11:15 - Pearls - Etiology and Risk Factors
00:12:56 - Pearls - Presentation and Diagnosis
00:15:56 - Pearls - Treatment
00:18:08 - Pearls – Complications
Show Notes
Reviews
- Acute Pancreatitis: A Review (JAMA, 2021)
- Acute Pancreatitis (NEJM, 2016)
Trials
- WATERFALL Trial - Aggressive (20 ml/kg bolus + 3 ml/kg/hr) vs Non-Aggressive (10 ml/kg bolus + 1.5 ml/kg/hr) fluid resuscitation in acute pancreatitis - fluid overload resulted in 20.5% vs 6.3% of patients but no difference in the development of moderately severe or severe pancreatitis (NEJM, 2022)
Other Literature
- Enteral versus parenteral nutrition for acute pancreatitis (Cochrane, 2010)
- A Critical Evaluation of Laboratory Tests in Acute Pancreatitis (Am J Gastroenterol, 2002)
Blogs and Summaries
- Clinical Problem Solvers - Acute Pancreatitis Illness Script
- Internet Book of Critical Care - Pancreatitis
- Radiopaedia - Imaging Findings in Acute Pancreatitis
- Pathway Guidelines Summary - Acute Pancreatitis
