Case of the Month #13 - pancreatitis

Published 02/02/2022

Observations

HR 140, BP 100/60, CRT 5 Secs, RR 25, Sp02 97% on 60% oxygen.

Notable blood results:

  • Hb 185 g/dl
  • WCC 12
  • Urea 18.9
  • Cr 134
  • Bili 32, ALT 75, GGT 20, ALP 23
  • Amylase 2150
  • Lactate 7.5

A CT Chest/Abdomen/Pelvis is requested that shows an inflamed pancreas consistent with acute pancreatitis.

After several litres of fluid resuscitation but with minimal change to his physiological parameters, he is referred to critical care for ongoing management and monitoring.