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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Tuesday, October 5, 2021

Severe Pancreatitis

emDocs
emDocs - October 04, 2021 - By Alex Stern 
Reviewed by Michael J. Yoo; Alex Koyfman and Brit Long
“Pearls
  • As with any patient with abdominal pain, always keep a broad differential and include those life-threateningconditions: AAA, bowel ischemia, ectopic, perforated viscus, etc.
  • Ultrasound and CT of the abdomen and pelvis can aid in the etiology of pancreatitis or undifferentiatedabdominal pain.
  • If concerned for concomitant infection or necrotizing pancreatitis, initiate broad-spectrum antibiotics.
  • IVF like in sepsis; avoid overly aggressive fluid resuscitation and start pressors earlier to reduce the risk of iatrogenic volume overload.
  • Aggressive, multimodal pain control.”