Acute Pancreatitis J013
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/sops-grouped-icd-body-system/b/acute-pancreatitis-j013-k85
Rulebase for acute pancreatitis
<h5>Current RMA Instruments</h5><table border="1" cellspacing="1" cellpadding="1"><tbody><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2020/412aa2fe37/005.pdf" target="_blank">Reasonable Hypothesis SOP</a></address></td><td>5 of 2020</td></tr><tr><td><address><a href="http://www.rma.gov.au/assets/SOP/2020/cbf906bc17/006.pdf" target="_blank">Balance of Probabilities SOP</a></address></td><td>6 of 2020</td></tr></tbody></table><h5>Changes from previous Instruments</h5><p><drupal-media data-entity-type="media" data-entity-uuid="4a3ff864-c32b-4e5a-846b-2fae13366687" data-view-mode="wysiwyg"></drupal-media></p><h5>ICD Coding</h5><ul><li>ICD-9-CM Codes: 577.0, 577.2</li><li>ICD-10-AM Codes: K85</li></ul><h5>Brief description</h5><p>Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.</p><h5><strong>Confirming the diagnosis</strong></h5><p>The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).</p><p>The relevant medical specialist is a gastroenterologist.</p><h5><strong>Additional diagnoses covered by SOP</strong></h5><ul><li>Pancreatic cyst</li><li>Pancreatic psuedocyst</li><li>Recurrent acute pancreatitis</li></ul><h5><strong>Conditions not covered by SOP</strong></h5><ul><li>Chronic pancreatitis*</li><li>Acute on chronic pancreatitis* - chronic pancreatitis SOP </li></ul><p>* another SOP applies</p><h5><strong>Clinical onset</strong></h5><p>Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).</p><h5>Clinical worsening</h5><p>The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.</p><p> </p>
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis
Acute toxicity from oral ingestion of a specified substance
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/acute-toxicity-oral-ingestion-specified-substance
Alcohol consumption
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/alcohol-consumption
Being bitten by the scorpion Tityus trinitatis
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/being-bitten-scorpion-tityus-trinitatis
Cholelithiasis
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/cholelithiasis
Course of therapeutic drugs in Table 1 of schedule for acute pancreatitis
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/course-therapeutic-drugs-table-1-schedule-acute-pancreatitis
Course of therapeutic drugs in Table 2 of schedule for acute pancreatitis
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/course-therapeutic-drugs-table-2-schedule-acute-pancreatitis
Disseminated intravascular coagulation or profound systemic hypotension
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/disseminated-intravascular-coagulation-or-profound-systemic-hypotension
Endoscopic examination involving the pancreas
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/endoscopic-examination-involving-pancreas
Hypercalcaemia
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/hypercalcaemia
Hypertriglyceridemia
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/hypertriglyceridemia
Inability to obtain appropriate clinical management for acute pancreatitis
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/inability-obtain-appropriate-clinical-management-acute-pancreatitis
Infection with a specified organism
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/infection-specified-organism
Pancreatic outflow obstruction
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/pancreatic-outflow-obstruction
Penetrating or major blunt trauma to the upper abdomen
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/penetrating-or-major-blunt-trauma-upper-abdomen
Renal or hepatic or cardiac transplantation
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/renal-or-hepatic-or-cardiac-transplantation
Surgery to the abdomen or thorax
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/surgery-abdomen-or-thorax
Systemic vasculitis
Current RMA Instruments
| Reasonable Hypothesis SOP | 5 of 2020 |
| Balance of Probabilities SOP | 6 of 2020 |
Changes from previous Instruments
ICD Coding
- ICD-9-CM Codes: 577.0, 577.2
- ICD-10-AM Codes: K85
Brief description
Acute pancreatitis is an acute inflammatory process of the pancreas. The SOP covers (i) single episodes of acute pancreatitis and (ii) recurrent episodes of acute pancreatitis, provided there is no underlying chronic pancreatic disease. Acute on chronic pancreatitis is covered by the chronic pancreatitis SOP.
Confirming the diagnosis
The diagnosis is made based on clinical findings (acute onset of persistent, severe, epigastric pain) and elevation in serum lipase or amylase levels. If the pain is atypical or the lipase or amylase levels not sufficiently elevated, then the diagnosis can still be made if there are characteristic findings of acute pancreatitis on imaging (CT, MRI, or ultrasound).
The relevant medical specialist is a gastroenterologist.
Additional diagnoses covered by SOP
- Pancreatic cyst
- Pancreatic psuedocyst
- Recurrent acute pancreatitis
Conditions not covered by SOP
- Chronic pancreatitis*
- Acute on chronic pancreatitis* - chronic pancreatitis SOP
* another SOP applies
Clinical onset
Time of clinical onset will be based on the first episode of characteristic abdominal pain (confirmed to be pancreatitis by laboratory or imaging results).
Clinical worsening
The only SOP worsening factor is for inability to obtain appropriate clinical management. Most patients have mild disease and recover in three to five days without complications. Around 20 percent have moderately severe or severe acute pancreatitis with local or systemic complications or organ failure. Treatment involves supportive care, with fluid resuscitation, pain control, and nutritional support. Recovery is usual, although severe disease is fatal in some cases. In a small proportion of cases there will be recurrent attacks.
Source URL: https://clik.dva.gov.au/ccps-medical-research-library/statements-principles/b/acute-pancreatitis-j013-k85/rulebase-acute-pancreatitis/systemic-vasculitis