Pancreatitis: The Daily PANCE Blueprint

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Pancreatitis: The Daily PANCE Blueprint

A 42-year-old female with a history of alcohol abuse presents to the ER complaining of epigastric pain and nausea. Her lipase is extremely elevated. Which of the following is the most appropriate intervention at this time?

A. Antiemetics
B. Broad spectrum IV antibiotics
C. IV fluid administration
D. General surgery consult
E. None of the above

Answer and topic summary

The answer is C. IV fluid administration

Acute pancreatitis is an inflammatory condition most commonly caused by alcohol abuse and gallstones. More uncommon causes include hypertriglyceridemia, hypercalcemia, steroids, and other medications, post-ERCP, scorpion stings, and viral infections. Clinical features include constant epigastric pain (radiates toward the back), nausea, emesis, possible shock, abdominal tenderness, Cullen sign, Grey Turner sign, or Fox sign. 1st line imaging is abdominal ultrasound. Treatment includes fluids, anti-emetics, early parental feeding, and management of the underlying cause.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint GI and Nutrition ⇒ Disorders of the Pancreas ⇒ Pancreatitis (acute and chronic)

Also covered as part of the Emergency Medicine EOR, Family Medicine EOR, Surgery EOR, and Internal Medicine EOR topic lists

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