Vancouver IM LMR

During today’s noon report, we discussed a case of hypertriglyceridemia-induced pancreatitis. Key points covered include:

• Pathophysiology: Elevated triglycerides (>11.2 mmol/L) lead to the release of toxic free fatty acids, causing pancreatic inflammation.
• Diagnosis: Two out of three criteria: abdominal pain, elevated lipase, and characteristic imaging findings. Elevated triglycerides are a key differentiator.
• Management: Focus on fluid resuscitation, IV insulin to lower triglycerides, and early enteral feeding to maintain gut integrity.
• Advanced Therapies: Consider therapeutic plasma exchange in severe cases or when triglyceride levels are refractory to medical therapy

Check out the full slide deck [here]!