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
