Acute pancreatitis

• Facts:
  Leakage of pancreatic enzymes
  See Ranson's criteria for mortality approximation
• History / PE:
  Severe pain, radiating to back
  Nausea and vomiting
  Fever
  Flank disoloration (Grey Turner's sign)
  Periumbilical discoloration (Cullen's sign)
• Diagnosis:
  Increases amylase, lipase
  Hypocalcemia
  "Sentinel loop" "colon cutoff sign" on AXR
• Complications:
  Pancreatic pseudocyst
  Fistula formation
  Chronic pancreatitis
• Associated With:
  Gallstones and ETOH
  Hypercalcemia
  Hypertriglyceridemia
  Viral infections
  Drugs ( depakote , thiazide diuretics )