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Etiology
Clinical Manifestation
Rat @ 48hrs
Chronic
Ran diagonsis
100
Most Common Cause 
Gallstones, more in females than males

Usually small stones or microlitahiasis 

100
HPI: location of pain, radiation, what makes it better, other symptoms 
epigastrum, to back, leaning forward, B/V 
100
HCT 
down  over 10% 
100
#1 etiology 
ETOH abuse 
100
age 
over 55 
200
2nd most common cause 
alcohol. more men than women and usually chronic w/acute flares 
200

DDx: 

acute cholecystitis, interstinal obstuction, mesenteric ischemia, AAA, ecotpic pregancy, etc 

200
BUN 
up over 5 mg/dl 
200
risk factors 
ETOH abuse, autoimmune, pancreatitis, smoking 
200
WBC 
over 16000
300
The 2 Ss in I GET SMASHED 
Steroids and Scorpions 
300
When lipase is falsely + 
renal failure, DKA, HIV, 
300
base deficit 
over 4 mEq/L
300
Symptoms 
epigastric pain ,N/V, overtime will be painless  steatorrhea, wt loss 
300
glucose 
over 200 
400
The A in I GET SMASHED 
Autoimmune 
400
ALT _____ x the upper limit of normal suggests gallstone pancreatitis 
3X
400
ca 
less than 8 
400
labs 
amylase/lipase increased early but nrml later. + fecvalfat, decaresed stool elastase and chymotrypsin 
400
AST 
over 250
500
The M in I GET SMASHED 
mumps (or other infections) / malignancy 
500
Most common imaging 
CT 
500
PaO2
less than 60mmHh
500
treatment
low fat diet, enzyme replacement 
500
LDH 
over 350