Welcome to The Pearl Log — where post-shift wisdom surfaces, one shiny clinical take at a time. Some pearls are fresh, some are rough, all are found under pressure.
Find a Pearl
Acute Pancreatitis in 2025
Acute pancreatitis: common, painful, and often over-imaged.
Diagnosis usually just needs pain and a lipase 3× ULN—no CT required. The 2024 ACG guidelines emphasize moderate LR resuscitation (not aggressive), early enteral feeding, and early cholecystectomy for gallstone cases. Most cases are mild, but 1 in 5 can worsen fast, so disposition hinges on oral tolerance, vitals, and follow-up reliability.