SurgeryGI / Hepatology
Acute Pancreatitis
BSG / IAP — diagnosis (2 of 3 criteria), Glasgow / APACHE-II severity, supportive care, ERCP for cholangitis, ICU for severe.
Source: BSG 2018; IAP/APA 2013
Step 1 of ~4
info
Diagnose + Identify Cause
Diagnosis: 2 of 3:
• Characteristic abdominal pain (epigastric, radiating to back).
• Amylase / lipase >3× ULN (lipase more specific + persists longer).
• Imaging consistent (USS, CT, MRI).
Causes (mnemonic GET SMASHED): Gallstones (most common UK ~50%), Ethanol, Trauma, Steroids, Mumps, Autoimmune, Scorpion, Hyperlipidaemia / hypercalcaemia, ERCP, Drugs.
Workup: bloods (FBC, U&E, LFTs, calcium, glucose, lipids, CRP, lactate, ABG), USS abdomen (gallstones), ETOH history.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
- Dobutamine (Acute HF / Stress Echo) · Inotrope / Acute Heart Failure
- Milrinone · Inodilator / Acute Heart Failure
- Prednisolone (Systemic) · Systemic Corticosteroid — Acute Dermatoses
- Methoxyflurane · Inhaled Analgesic — Acute Pain
- Tezepelumab (CRSwNP / Severe Asthma) · Anti-TSLP (Thymic Stromal Lymphopoietin) Monoclonal Antibody
Pathways
- Major Trauma — Primary Survey (ATLS) · ATLS 10th Edition; JRCALC; NICE NG39
- Major Haemorrhage / Massive Transfusion · BCSH; RCOA; RCEM; RCS — BCSH Guidelines
- Burns — TBSA Estimation & Fluid Resuscitation · British Burn Association; EMSB; RCEM 2024
- Lower Gastrointestinal Bleed · NICE; BSG; ACPGBI — Commissioning Guide
- Acute Pancreatitis · NICE; IAP/APA; ACPGBI — CG104
- Hypertrophic Pyloric Stenosis · BAPS / RCPCH
Decision support only. Always apply local guidelines and clinical judgement.