Acute pancreatitis
Consider acute pancreatitis in any patient with impaired general condition who complains of epigastric pain or consumes a lot of alcohol. Excessive consumption of alcohol is the cause in the majority of cases. Biliary diseases and earlier episodes of pancreatitis may be a pointer in diagnosis. The general condition is most important. Shock, respiratory distress, anuria and mental confusion may indicate severe pancreatitis Amylase trypsinogen determination is suitable for primary diagnosis. Contrast-enhanced computed tomography is the most accurate imaging method for pancreatitis Even mild pancreatitis should be followed up in a hospital because of the risk of complications. Sufficient early re-hydration is the basis of conservative treatment. Adequate analgesia and follow-up are an essential part of the treatment. Outcome of conservative treatment is almost invariably good.
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