Comments on: What caused the pancreatitis?

By: Bohdan A. Oryshkevich, MD, MPH

Bohdan A. Oryshkevich, MD, MPH — Fri, 21 Aug 2009 02:07:40 +0000

I have not looked at the answer yet. But searching for medications that cause simultaneous pancreatitis and hepatitis I came across saw palmetto. This man is in the age when he could have BPH. But I am just beginning my work on this.

This is early and easy thing to check. Just ask the patient before ordering any fancy tests or removing the gall bladder.

Bohdan A. Oryshkevich, MD, MPH

By: Anonymous

Anonymous — Thu, 20 Aug 2009 16:24:16 +0000

It was a joke Truth Teller

By: Hospital Survivor

Hospital Survivor — Thu, 20 Aug 2009 04:10:47 +0000

Dear “Happy Hospitalist”
I had acute pancreatitis 16 years ago and I didn’t drink alcohol. Sometimes patients tell THE TRUTH!

By: Daniel Cardenas

Daniel Cardenas — Wed, 19 Aug 2009 01:05:41 +0000

Any crazy surgeon?

By: david

david — Wed, 19 Aug 2009 00:34:47 +0000

Also would perform an intra-op cholangiogram at the time of the ccy.

By: david

david — Wed, 19 Aug 2009 00:32:57 +0000

This man need his gallbladder out ASAP before he gets another potentially fatal case of pancreatitis.

By: Happy Hospitalist

Happy Hospitalist — Wed, 19 Aug 2009 00:29:31 +0000

I forgot to add, I have no idea what chemo is used to treat RCC, but if i’ts 6-MP, you have your answer.

By: Happy Hospitalist

Happy Hospitalist — Wed, 19 Aug 2009 00:08:10 +0000

Just about every medicine he’s on could cause either hepatitis or pancreatitis. I’d find out if any of them were recent additions. For the time being stop the statin, metformin, ace, lasix, ASA, januvia. I’m not sure about the others. Check for Hep B and C.

And ERCP would be helpful to look for local structural abnormalities (diverticula).

At any rate, I’m not sure about the GB being the cause. Perhaps a PIPIDA scan is warranted.

Check a triglyceride level, of course. Maybe he needs lipopharesis and has hepatitis from NASH.

Oh, and just because he says he doesn’t drink, doesn’t mean he doesn’t. I’d admit him to a rehab place against his will.

By: What caused the pancreatitis? : Trends

What caused the pancreatitis? : Trends — Tue, 18 Aug 2009 11:23:04 +0000

[...] and a known right kidney mass. His medication list included simvastatin, januvia, aspirin, cilostaz click for more Published: August 18, 2009 Filed Under: Uncategorized Leave a Comment Name: [...]

By: Daniel Cardenas

Daniel Cardenas — Mon, 17 Aug 2009 19:27:50 +0000

Elevated liver enzymes could be due to simvastatin.
D/C furosemide.