RT Book, Section
A1 Kasper, Dennis L.
A1 Fauci, Anthony S.
A1 Hauser, Stephen L.
A1 Longo, Dan L.
A1 Jameson, J. Larry
A1 Loscalzo, Joseph
SR Print(0)
ID 1128787040
T1 Pancreatitis
T2 Harrison's Manual of Medicine, 19e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071828529
LK accessmedicine.mhmedical.com/content.aspx?aid=1128787040
RD 2024/04/19
AB Any  severe  acute  pain  in  the  abdomen  or  back  should  suggest  the  possibility  of  acute  pancreatitis.  The  diagnosis  is  established  by  two  of  the  following  three  criteria:  (1)  typical  abdominal  pain  in  the  epigastrium  that  may  radiate  to  the  back,  (2)  threefold  or  greater  elevation  in  serum  lipase  and/or  amylase,  and  (3)  confirmatory  findings  of  acute  pancreatitis  on  cross-sectional  abdominal  imaging.  The  pathologic  spectrum  of  acute  pancreatitis  varies  from  interstitial  pancreatitis,  which  is  usually  a  mild  and  self-limited  disorder,  to  necrotizing  pancreatitis,  in  which  the  degree  of  necrosis  may  correlate  with  the  severity  of  the  attack  and  its  systemic  manifestations.