Pancreas ======== þ Pancreatic Destruction - After destruction of more than 90% of normal pancreatic function, a patient may develop diabetes mellitus or steatorrhea. Ref: A Practical Approach to Emergency Medicine 2nd edition p 252. þ Chronic Pancreatitis - Calcifications: Pancreatic calcifications are found in 30% of patients with chronic pancreatitis. They are more commonly associated with pancreatitis due to alcohol ingestion than other etiolgies. Reg: A Practical Approach to Emergency Medicine 2nd edition p 252. þ Pancreatic Abscess/Pseudocyst - Incidence: Approximately 5% of patients with acute pancreatitis will develop a pancreatic abscess. Ref: A Practical Approach to Emergency Medicine 2nd edition p 250. þ Pancreatitis without elevated amylase - [Calvien PA, et al. Acute pancreatitis and normoamylasemia: Not an uncommon combination. Ann Surg 1989;210(50):614.] [Orebaugh SL. Normal amylase levels in the prevention of acute pancreatitis. Am J Emerg Med 1994;12(1):21-4.] þ Causes of Pancreatitis - ethanol (#1) - hypertriglyceridemia, sometimes from diabetes - Sulindac has been known to cause it, though it is unclear why this occurs. [Tintinalli 3rd ed. p 626.] - Depakene/depakote can cause severe pancreatitis, sometimes deadly (per package insert, modified 8/00)