1. Utilization of Lipase Testing in the ED
Faraj Mourad, DO
DSR 2

2. Background Lipase Testing Indications Pancreatitis Presentation
Lipase Testing in the ED
Acute, Severe & Persistent Pain
Epigastric/RUQ Pain
Radiation to the Back
Persistent Nausea/ Vomiting
Pancreatitis
Pancreatic CA
Cholecystitis
DKA
SBO
Celiac
ERCP

3. Investigation Site UC Irvine Medical Center Cost: National Cost: UCI
$190 - $750 Technical Fee
Cost: UCI
$230 Technical Fee
$57.50 Professional Fee

4. Data Collection
Using the ED board, 21 Patients were identified to have been tested for a lipase level at a random day.
Chart Review was done on all of them to understand appropriateness of test

5. Data Analysis Odd Chief Complains that resulted in Lipase Testing
Lethargy
Seizure
Vaginal Bleeding
Diagnosed UTI
Suicidal Attempt
SOB/Edema
Headache
Abdominal Pain
62%
Epigastric Pain
14%
Nausea/Vomiting
Radiates to Back 5%
Lipase Abnormal 0%
Imaging Findings

6. Moving Forward Back to Basics
Lab testing needs to follow clinical suspicion
Educate staff on cost
Follow guidelines

7. Thank you