Hepatobiliary Disease

Pancreatitis
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

 

FYI
-get tylenol level (and salicylate) in jaundiced pt

 

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