Dan Zak here from med geeks. So first off I want to take a second and thank all you for listening to my podcast. I've done over 30 podcast now and each week is definitely just as rewarding as to last.

So thanks for keeping me in business.

So as we continue to move forward here,

based off of all the downloads that we get,

the most effective approach is definitely discussing a case followed by a systematic review of the topic including

introduction, etiology, clinical presentation, work up diagnosis, differential, and lastly management. So with that said let's dive

into acute pancreatitis. So you have a 32 year old male with a past medical

history of ETOH abuse, one Pine of

Vodka Daily, ETOH related seizures in the past and hypertension, presents with a chief

complaint of severe epigastric pain and tenderness which started about a day ago and

has progressively worsened over the day. The patient states that he attempted to

eat and drink when he woke up this morning but he 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 and really denies anything else per history.

Vitals reveal a temperature of 101.1, heart rate in the 110s, blood pressure 89 over 68, and O2 saturation of 98% on room air.

On exam, there's significant epigastric tenderness, but there's no rebound, no guarding, no pair of

to meal signs. Labs reveal a white count of 15.4. H and H 15.7 and

43.5, platelets 188, B1, keratin, 10 and 1.0.

Electrolytes are normal, including calcium.

Billy's and LFTs are normal.

LIPACE is 2,806, traglicarized normal and you have a lactate

to 10.3. So imaging reveals CT abdomen pelvis with diffuse enlargement of the pancreatic parencoma,

...