Editing Acute pancreatitis (section)

== '''Course:''' ==

* Daily bloods including CRP
** Don't repeat lipase
** CRP >150 at 48 hours is reasonably predictive for severe course (sp 80%, se 76%)
* Early deaths - MODS from SIRS
* Late deaths - MODS from necrotic sepsis
* Feed early (once pain is better) in mild disease
* Consider enteral tube feeding around 72 hours in for severe AP (NGT and NJT are comparable, either is ok)
* CT 3-5 days after symptom onset if no improvement or deterioration (pancreatic necrosis typically becomes apparent 72 hours after onset)