pancreatitis
why pain in pancreatitis increase in lying down and decrease on leaning forward? (Source: Student Doctor Network)
Source: Student Doctor Network - April 20, 2023 Category: Universities & Medical Training Authors: junaidyounis Tags: USMLE and COMLEX Source Type: forums
Finding balance (or I hate people now, need exposure to nonsucky ones)
I have grown to dislike people more and more over the last few years. Just tonight we got 2 meth abusers, 2 polysubstance, and an alcohol pancreatitis in the ICU. Every…single….admit/consult…. was drug related. Anyone have advice on balancing this **** out with volunteering or at least being exposed to the other side of society? The non suck side? Does it exist? I need more balance. (Source: Student Doctor Network)
Source: Student Doctor Network - April 17, 2023 Category: Universities & Medical Training Authors: sylvanthus Tags: Emergency Medicine Source Type: forums
NG vs NJ for pancreatitis
Do you guys use NG or NJ for patients with severe pancreatitis not tolerating oral intake. Seems from uptodate you can use either. What are your thoughts? (Source: Student Doctor Network)
Source: Student Doctor Network - February 15, 2021 Category: Universities & Medical Training Authors: Cadet133 Tags: Gastroenterology Source Type: forums
Drunk healthcare professional checks into the ER immediately after work. What would you do?
Had this case several months ago of a guy that got off from work as an OR nurse and came directly to the hospital, per him, for epigastric pain. He works at another hospital within our system. He has a history of pancreatitis due to “unknown cause”. He seems off and I suspect he is drunk. His alcohol level is 300 and lipase is markedly elevated. I inform him that he is drunk, and alcoholism is likely the cause of his recurrent pancreatitis. He of course says that’s impossible and must still...
Drunk healthcare professional checks into the ER immediately after work. What would you do? (Source: Student Doctor Network)
Source: Student Doctor Network - September 21, 2020 Category: Universities & Medical Training Authors: Zebra Hunter Tags: Emergency Medicine Source Type: forums
Re: Management of severe acute pancreatitis
(Source: BMJ Comments)
Source: BMJ Comments - December 23, 2019 Category: General Medicine Source Type: forums
Question about pancreatitis
Wanted your opinions on your management. If you have someone come in with mild pancreatitis unknown etiology (full work up normal) with no abnormal labs other than the lipase being >5000. Vitals stable. APACHE II on admission 3. And patient wants to eat the next day with pain improved despite lipase being still >5000. Would you initiate early refeeding or would you wait a while? (Source: Student Doctor Network)
Source: Student Doctor Network - August 18, 2019 Category: Universities & Medical Training Authors: Cadet133 Tags: Internal Medicine and IM Subspecialties Source Type: forums
Alcoholism and the ER
Anyone think that the ER probably does more to allow people to continue drinking alcohol than to stop drinking?
Took care of a guy today who has been to the ER numerous times, and admitted numerous times, for complications from EtOH. The very first thing he said was "I having pancreatitis from my drinking." He was honest, and I said I appreciated his honesty.
Now, what would happen 100 years ago was these people would sit around at home in pain for several days, vomiting, and go...
Alcoholism and the ER (Source: Student Doctor Network)
Source: Student Doctor Network - June 14, 2019 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums
Possible administration discharge due to failure of ADAPT
So I will make this short, I am possibly facing an administration discharge for failure of ADAPT program for ETOH use. The back story is that last year I was diagnosed with Pancreatitis and the Air Force determined the cause was for excessive ETOH abuse. Forced me to enroll in the ADAPT program and sent me to rehab. I successfully completed rehab and was sober for almost 6 months until I had an relapse episode due to family situations. So now the ADAPT wants to fail me because of program...
Possible administration discharge due to failure of ADAPT (Source: Student Doctor Network)
Source: Student Doctor Network - May 10, 2019 Category: Universities & Medical Training Authors: sdt672002 Tags: Military Medicine Source Type: forums
Re: Chronic pancreatitis
(Source: BMJ Comments)
Source: BMJ Comments - July 31, 2018 Category: General Medicine Source Type: forums
Does this patient have pancreatitis?
Have a patient who had N/V, diarrhea and epigastric pain. CT scan with contrast showed diffuse mild thickening of colon and small bowel representing enterocolitis; pancreas had no abnormality. Lipase 7000s and patient did have epigastric tenderness on exam. Is this consistent with pancreatitis or does the ct scan rule it out? (Source: Student Doctor Network)
Source: Student Doctor Network - February 4, 2018 Category: Universities & Medical Training Authors: naseeha Source Type: forums
Third spacing and fluids
Wondering how you all approach those complicated patients who are total body overloaded but intravascularly dry, as there doesn't seem to be a great deal of evidence based medicine to guide us.
Let me give an example- patient with bad pancreatitis and hypoalbuminemic with an oxygen requirement and maybe a small effusion but otherwise not too terrible an Xray, who is persistently oliguric and has worsening renal function.
Common practice seems to be to keep giving fluids with the aim of...
Third spacing and fluids (Source: Student Doctor Network)
Source: Student Doctor Network - June 4, 2017 Category: Universities & Medical Training Authors: economycian Source Type: forums
why high carb, low fat diet in chronic pancreatitis?
Anyone know why high carb, low fat diet is recommended in chronic pancreatitis?
Surely both carbs and fat are bad in pancreatitis.
Thanks in advance. (Source: Student Doctor Network)
Source: Student Doctor Network - March 17, 2016 Category: Universities & Medical Training Authors: mhco Source Type: forums
