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Medgeeks Clinical Review Podcast


Feb 8, 2019

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We have a 32 year old male with a past medical history of ETOH abuse (1 pint of vodka daily), ETOH related seizures, and hypertension.

He presents with a complaint of severe epigastric pain and tenderness which started about a day ago and has progressively worsened over the day.

The patient said he attempted to eat and drink this morning, but became nauseous and had one episode of non-bloody vomiting.

The patient's last alcoholic drink was the night prior. He has no new medications. 

Vitals: 101.1F, HR 110, BP 89/68, 98% O2 sat RA.

On exam, there is significant epigastric tenderness. But, no rebound or gaurding or peritoneal signs. 

Labs: WBC 15.4, H/H 15.7/43.5, platelets 188, BUN:Cr 10:1, Lipase is 2,806, and lactate of 10.3

Electrolytes, bilirubin, LFT, triglycerides normal.

Today, we'll be breaking down acute pancreatitis.

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