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pancreatitis (physical exam (scleral icterus, ABD distention and…
pancreatitis
physical exam
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severe= fever, tachypnea, hypoxemia, and hypotension
lab findings
Serum lipase
higher sensitivity and specificity, rises 4-8 hours, peaks at 24, returns to normal 8-14 days
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serum amylase 3x normal
rises within 6-12hrs, half life of 10 hours
in addition, CBC, lytes, (ALT), (AST), bilirubin, calcium, and albumin to rule out other causes of acute abdominal pain
etiology
alcohol
25-35%, causes overwork of pancreas production of digestive enzymes, not completely known
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diagnosis=2 out of 3
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characteristic findings of acute pancreatitis on imaging (CT, MRI, or US)
acute onset of persistent, severe, epigastric pain often radiating to the back