Pancreatitis

Pancreatitis
[ ] No bil dz, EtOH, recent surgery or ERCP

Ranson score at Admission
Age > 55
WBC > 16
Glucose > 200
AST > 250
LDH > 350
—-
Mortality if 3-4 points = 15%
If 5 points = 40%

[ ] LFTs LDH lipase CBC chem 10 coags
[ ] EKG (is this pancreatitis or an MI?)
[ ] CXR or KUB (free air; ARDS?)
[ ] RUQ U/S
[ ] ERCP with sphincterotomy in 72 hrs (biliary panc)
[ ] CT abd/pelvis for phlegmon or pancreatic pseudocyst
[ ] NGT if vomiting
[ ] Cipro/Flagyl (nec panc, abscess, phlegmon)
- Other options include

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