Hepatobiliary Disease

simple pancreatitis presents with fever ~70% of the time (does NOT mean it’s infected)
-use BISAP score to risk stratify (predicts mortality in ED)
-hyperTG is not that uncommon => when diagnose, send lipid panel

Necrotizing Pancreatitis
-diagnosed by CT (emulsified, infected pancreatic tissue, often gas/emphesematous changes)
-ONLY time you give abx in pancreatitis per EBM
-give carbipenams (meropenam) + flagyl for best penetration into pancreatic tissue


-get tylenol level (and salicylate) in jaundiced pt


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s