An ultrasound of the RUQ should be performed in all cases to assess for biliary stones and obstruction After negative routine work-up for biliary aetiology, endoscopic ultrasonography (EUS) is recommended as the first step to assess for occult microlithiasis,...
A number of systems exist to identify severity and prognosticate pancreatitis Considered advantageous over clinical judgement alone Useful in determining optimum location of care Limitations exist with many of the scoring systems: Cumbersome to complete Require 48...
Local (Pancreatic) Interstitial Oedematous pancreatitis:Peripancreatic collectionPseudocyst (pancreatic fluid surrounded by a wall of fibrous or granulation tissue)Abscess (circumscribed collection of pus) Necrotising pancreatitis:Sterile parenchymal necrosisInfected...
UK guidelines state that all patients with acute severe pancreatitis should be managed on the high dependency unit (HDU): Can be difficult in practice – ensure all referred to the critical care outreach team for regular review and escalation of care if...
