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Home > A&E Department Guidelines for Initial Investigations in Suspected Acute Pancreatitis 1. Rapid Clini

A&E Department Guidelines for Initial Investigations in Suspected Acute Pancreatitis 1. Rapid Clini

1. Rapid Clinical Assessment

Assess patient’s clinical history and symptoms

Perform a thorough physical examination

Evaluate vital signs for stability

2. Laboratory Investigations

Obtain complete blood count (CBC)

Measure serum amylase and lipase levels

Check liver function tests (LFTs)

Assess electrolytes and renal function

Consider inflammatory markers (e.g., CRP)

3. Imaging Studies

Initiate abdominal ultrasound to assess for gallstones

Consider CT scan of the abdomen if diagnosis is uncertain or complications are suspected

Assess for any signs of necrosis or fluid collections

4. Assessment of Severity

Use clinical scoring systems (e.g., Ranson’s criteria or APACHE II) for severity assessment

Evaluate the need for intensive monitoring or admission to a higher level of care

5. Management and Referral

Initiate supportive care (e.g., IV fluids, pain management)

Consult gastroenterology or surgery if indicated

Prepare for possible transfer to a specialized unit if necessary

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