Pancreatitis

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Nurses Edition Commentary

Lisa Chavez, RN and Kathy Garvin, RN
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Gerold K. -

Dear EMRAP Team!
To start, thanks for the great work. I got invited by a colleague and I'm sold. Totally. Well, I did listen to the pancreatitis, loved it, especially the early feeding. But, but...
We (NZ and even Sweden) still use Amylase. In the discussion the Amylase kind of seems to be a shitty test. I thought about taking it to my boss, but, I looked it up and found the Cochrane review. According to them, it does not make a difference . Should I convince my boss or not? She's a good boss by the way.
Here is the review:
http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD012010.pub2/full

Cheers Gerold

Bill W. -

Hey, guys thanks for the robust discussion. For years I have heard the occasional comment on a pt with chronic pancreatitis who present with acute pain flare with a normal lipase and the comment is, "they have burned out their lipase" and so to not expect it to be elevated. For good or bad, I never really dug in on this so see if it was a true physiologic response. In these cases by the way, the pt either had their GB out and had no other red-flags that would be concerning for pseudocyst, abscess or other pathology and/or may or may not have had another neg US or CT. Thoughts on that anyone?

John B. -

What is an example of a low residue diet to recommend to the patient?

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A Pancreas and a Testicle Walk Into a Bar... Full episode audio for MD edition 264:51 min - 369 MB - M4AEM:RAP 2017 December Canadian Edition Canadian 33:30 min - 46 MB - MP3EM:RAP 2017 December Aussie Edition Australian 26:36 min - 37 MB - MP3EM:RAP 2017 December Spanish Edition Español 79:15 min - 109 MB - MP3EM:RAP 2017 December German Edition Deutsche 105:44 min - 145 MB - MP3EM:RAP 2017 December French Edition Français 24:47 min - 34 MB - MP3EMRAP_2017_12_December_Vol.17_Summary 1 MB - PDFEM:RAP 2017 December Board Review Answers 95 KB - PDFEM:RAP 2017 December Board Review Questions 312 KB - PDFEM:RAP 2017 December Individual MP3 Files 334 MB - ZIPEM:RAP 2017 December Individual Summary Files 2 MB - ZIPEM:RAP 2017 - December Spanish Written 1 MB - PDF

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