John is a 36-year-old Asian male who was admitted to the hospital after complaining of significant LUQ pain that radiates to the left flank. He indicated the pain was constant and worse when he lies down. He has also had occasional vomiting over the last three days. Initially, it was thought he may have a kidney stone, but further testing and labs proved otherwise. He is being discharged from
this critical access hospital and transferred to a tertiary medical center up north.
His physical exam showed abdominal distention, increasing LUQ pain on palpation. Sclera were jaundiced.
Labs: serum amylase and lipase—extremely elevated.
CT of abdomen with contrast showed peripancreatic inflammation and fluid.
What will be an ideal response?
Impression: Acute pancreatitis vs. pancreatic pseudocyst
Answer: Acute pancreatitis—K85.9
Pancreatic pseudocyst—K86.3
Either diagnosis can be sequenced first.
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