← Older revision
Revision as of 20:09, 6 December 2013
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==Management==
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{{familytree/start |summary=Acute Pancreatitis}}
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{{familytree | | | | | | | | | P01 | | | | | | | | | | | | | | | | | | |P01='''Signs & symptoms''': severe abdominal pain, breathing difficulty, hypotension, vomiting, fever, [[cullen's sign]], [[grey turner sign]]}}
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{{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | |}}
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{{familytree | | | | | | | | | A01 | | | | | | | | | | | | | | | | |A01='''Check labs''' - serum amylase, serum lipase, serum triglycerides, abdominal USG, CBC, CECT, MRI}}
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{{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | |}}
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{{familytree | | | | | | | | | B01 | | | | | | | | | | | | | | | | | |B01='''Diagnostic criteria''': Any 2 out of 3<br> Abdominal pain consistent with disease<br>serum amylase or lipase values > 3 times normal<br>consistent findings from abdominal imaging|}}
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{{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | |}}
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{{familytree | | | | | | | | | C01 | | | | | | | | | | | | | | | | | | |C01=[[Acute Pancreatitis]]}}
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{{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | |}}
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{{familytree | | | | | | | | | N01 |-|-| N02 | | | | | | | |N01=Assess hemodynamic status|N02=Unstable}}
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{{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | |}}
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{{familytree | | | | | | | | | O01 | | | | | | | | | | | | | | | | | | |O01=Stable}}
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{{familytree | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | |}}
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{{familytree | | | | | | | | | D01 | | | | | | | | | | | | | | | | | | |D01=Risk stratification}}
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{{familytree | | | | | |,|-|-|-|^|-|-|-|.| | | | | | | | | | | | | | | |}}
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{{familytree | | | | | E01 | | | | | | E02 | | | | | | | | | | | | | | |E01=Lower risk<sup>*</sup> |E02=Higher risk<sup>**</sup>}}
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{{familytree | | | | | |!| | | | | | | |!| | | | | | | | | | | | | | | |}}
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{{familytree | | | | | F01 | | | | | | F02 | | | | | | | | | | | | | | |F01=General medical ward |F02=ICU}}
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{{familytree | | | | | |!| | | | | | | |!| | | | | | | | | | | | | | | |}}
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{{familytree | | | | | G01 |-|-|.| | | G02 | | | | | | | | | | | | | | |G01=Initiate supportive care<br>Aggressive fluid resuscitation with 250-500 ml[[Lactated Ringer's solution|Ringers Lactate]] per hr during first 12-24 hours <br>In sever cases give fluid bolus<br>Mild cases - oral liquid feeds <br> In moderate to severe cases [[Feeding tube|enteral feeds]], [[nasogastric]] or [[nasojejunal]] feeds are acceptable |G02=CT scan}}
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{{familytree | | | | | |!| | | |!| | | |!| | | | | | | | | | | | | | | |}}
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{{familytree | | | | | H01 | | |!| | | H02 | | | | | | | | | | | | | | |H01=Provide adequate analgesia |H02=Pancreatic necrosis}}
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{{familytree | | | |,|-|^|-|.| |!| |,|-|^|-|.| | | | | | | | | | | | | |}}
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{{familytree | | | I01 | | I02 |`| I03 | | I04 | | | | | | | | | |I01='''Stones'''? |I02=Other causes, treat as per cause |I03=No |I04='''Yes'''}}
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{{familytree | | | |!| | | |!| | | |!| | | |!| | | | | | | | | | | | | |}}
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{{familytree | | | J01 | | J02 | | |`|-|-| J03 | | | | | | | | | | | | | |J01=Surgical consult <br> Emergency cholecystectomy or ERCP within 24 Hrs of admission |J02=Assess in 1 week |J03=SIRS/Organ failure?}}
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{{familytree | | | | |,|-|-|^|-|-|.| | | | |!| | | | | | | | | | | | | | |}}
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{{familytree | | | | K01 | | | | K02 | | | K03 | | | | | | | | | | | | | |K01=Tolerating oral feeds |K02=Not tolerating oral feed |K03=If yes, '''surgical consultation''' <br> Think about CT guided percutaneous aspiration & culture}}
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{{familytree | | | | |!| | | | | |!| | | | |!| | | | | | | | | | | | | | |}}
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{{familytree | | | | L01 | | | | L02 | | | |!| | | | | | | | | | | |L01=Recovery |L02=Add nutritional support <br> Consider CT scan}}
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{{familytree | | | | | | | | | | |!| | | | |!| | | | | | | | | | | | | | |}}
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{{familytree | | | | | | | | | | M01 |-|-|-|'| | | | | | | | | | | | | | | |M01=Lack of improvement/Worsening of clinical status}}
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{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
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{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}} Normal 0 false false false EN-US X-NONE X-NONE