Treatment of Acute Pancreatitis, Approach,Walled off Necrosis, Infected Necrosis, Pseudocyst, Part 2

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Med4Pets
Carlo
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In this video, I talk about the management of acute pancreatitis. I will talk about the approach to acute pancreatitis including diagnosis, elevated enzymes, and supporting imaging Then I move on to talk about the step by step management of acute pancreatitis which includes IV fluids, analgesia, antiemetics and nutrition. I talk about the importance of early nutrition by the oral method and whats the heirarchy for starting nutrition in these patients. I go to talk about how to monitor these patients in the ward and also which patients to get to the ICU. Then I talk about the complications of acute pancreatitis which include necrosis and infected necrosis. I differentiate between the two and tell the antibiotic regimen to treat infected necrosis as well. Then I talk about the late complications of pancreatitis which include Walled off necrosis and pseudocyst.

This video is a part of our series on Surgical emergencies:
https://www.youtube.com/playlist?list=PLx94ax5sG64ZOS-WaA60qTdrcyrtDF9vN

Chapters:
0:00 Intro
0:17 Contents
0:50 Approach
1:20 Stabilize
10:55 Goal Directed IV fluids
15:08 Monitoring
15:56 To The ICU?
17:30 Nutrition
18:39 Treating etiology
21:57 Hypercalcemia
22:50 Hypertriglyceridemia
23:26 Complications
23:33 Necrosis
25:48 Infected Necrosis
28:12 Pseudocyst vs Walled off necrosis
33:53 Pseudocyst CT Interpretation
34:57 Walled off necrosis
36:26 BONUS: Sphincter of oddi dysfunction
37:48 Take Away

#pancreatitis #acutepancreatitis #management #treatment #etiology #complications #approach #stepbystep #Necrosis #walledoffnecrosis #pseudocyst
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