Acute Pancreatitis

We have a 32 year old male with a past medical history of ETOH abuse (1 pint of vodka daily), ETOH related seizures, and hypertension. He presents with a complaint of severe epigastric pain and tenderness which started about a day ago and has progressively worsened over the day. The patient said he attempted to eat and drink this morning, but became nauseous and had one episode of non-bloody vomiting. The patient's last alcoholic drink was the night prior. He has no new medications.  Vitals: 101.1F, HR 110, BP 89/68, 98% O2 sat RA. On exam, there is significant epigastric tenderness. But, no rebound or gaurding or peritoneal signs.  Labs: WBC 15.4, H/H 15.7/43.5, platelets 188, BUN:Cr 10:1, Lipase is 2,806, and lactate of 10.3 Electrolytes, bilirubin, LFT, triglycerides normal. Today, we'll be breaking down acute pancreatitis. - Our goal at Medgeeks is to help you live the life you want to live as you navigate a career in medicine. This looks different to everyone, which is why we take such a personalized approach.  Whether you want to ... Stop taking your work home Have the skillset to work autonomously Improve your work life balance ...or anything in between, we can definitely help.   We've worked with thousands since 2013 and we're confident we can help take your career and life to the next level. You can learn more about our mentorship opportunities here:   https://www.medgeeksmentorship.co/opportunities   or schedule a time to chat with our advisors here:   https://www.medgeeksmentorship.co/application   - Learn more about what we do here https://medgeeks.co/about-us - Check out our free Facebook group, where we share daily clinical pearls, advice, and practice changing updates: https://www.facebook.com/groups/medgeeks - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.