Acute pancreatitis is a common cause of hospital admission, and the severity can range from mild to deadly.

A lot of what was recently considered common practice in pancreatitis is now out of date as we have more data to guide our care, the times they are a changing indeed.

I am frequently going to refer to the guidelines during this lecture, and what I am referring to are the acute pancreatitis guidelines

published in July of 2013 in the American Journal of Gastroenterology. All right, so acute pancreatitis,

the etiologies basically are broken down into three categories.

There's the rare causes like autoimmune disease or viral infections such as Coxacki or CMV virus.

There can be trauma to the pancreas.

Sometimes there's even pancreatic cancer or adenocarcinoma, causing acute pancreatitis.

And then I'm still looking for the scorpion sting and spider bites.

Haven't found that yet.

And eschemia would also fall into an etiology that's pretty rare to see.

Then there are the common causes, alcohol and gallstones. Alcohol and gallstones. And I'm going to throw ERCP into the common category,

just based on my own experience, though most textbooks don't list it in the common ideology category.

There is the occasional ideology category, and most people

list ERCP in that. But in the occasional category, I will say that you're going to see

this stuff on a fairly frequent basis, meaning every couple years you may see somebody with

severe hyper triglyceridemia causing pancreatitis.

You may see hypercalcemia, particularly when it's associated with hyperparathoridism causing pancreatitis.

And then there are a whole bunch of medications.

I'm not going to list them all, but sometimes it's even commonly prescribed

medications like LASICs, hydrochlorothyside, symbastatin. But while lots of people take those

medications, very few people actually get pancreatitis from those medicines. HIV medicines are

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