Background: Acute pancreatitis (AP) is one of the most common causes of hospitalization in the United States. Intravenous hydration with normal saline (NS) is the most commonly used fluid for resuscitation. Recent studies have shown better outcomes with the use of more pH balanced fluid-like ringer’s lactate and Plasmalyte (PL). We conducted a retrospective cohort [...]

Case Presentation: A 20-year-old male with past history of asthma presented initially with bloody diarrhea and subjective fever of one day’s duration. Upon evaluation vital signs revealed temperature of 103 F, and tachycardia. On physical examination there was generalized abdominal tenderness with normal bowel sounds. Thrombocytopenia was present with platelet count of 46 k/ul. Antibiotics [...]

Case Presentation: A 35 year old African American woman with a past medical history of alcohol and tobacco abuse and acute pancreatitis presented to the hospital with a progressive dyspnea and nonproductive cough for one month not responding to outpatient antibiotics. Six months prior to presentation, she was hospitalized for acute pancreatitis that was attributed [...]

Case Presentation: A previously healthy 8 year old male presented to the emergency department (ED) with a one day history of diffuse abdominal pain, nausea, non-bloody and non-bilious vomiting, and fever up to 39˚C. Appendix ultrasound was normal. Urinalysis was significant for protein, ketones, and bilirubin. Influenza A/B PCR was negative. He improved with intravenous [...]