Pancreatitis

Epigastric / LUQ pain:

• Invariably with nausea / vomiting
• Tendeness on exam

Especially suspect if:

• Pain radiates to back
• Pain relieved by leaning forward [also true of pericarditis]

Risk Factors:

• Recent heavy alcohol
• Gallstones
• Hypertriglyceridemia (TGs >500-1000)

Diagnosis:  Serum Lipase.

Most patients require admission for n.p.o. and hydration.  CT scan advised (identifies complications).

See posting Abdominal Pain – 1.