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Case 79: Pancreatitis

A 79 year old woman is admitted with 18 hours of epigastric pain and vomiting. Her amylase is 3769 and lipase is 6023. Her temperature is 39.2 degrees and bilirubin is 76. An ultrasound is followed by a CT scan (shown below).

1. What is the likely cause for her pancreatitis based on the CT?

2. How would you determine the severity of her pancreatitis?

3. What specific therapies have been shown to improve outcome for severe pancreatitis?