One evaluation, one provider, bundle pricing
Gil-Hernandez E, Ruiz-Gonzalez C, Rodriguez-Arrastia M, et al
Causes (I GET SMASHED) * I Idiopathic * G Gallstones (most common overall) * E Ethanol (alcohol) * T Trauma * S Steroids * M Mumps and other infections * A Autoimmune pancreatitis * S Scorpion sting (rare) * H Hypertriglyceridemia/Hypercalcemia * E ERCP * D Drugs (e.g., azathioprine, valproate) Clinical Features * Sudden severe epigastric pain radiating to the back * Nausea and vomiting * Epigastric tenderness * Fever * Tachycardia * Abdominal distension * Reduced bowel sounds (ileus) Severe disease: * Hypotension * Shock * Respiratory distress * Oliguria * Confusion Signs * Epigastric tenderness * Guarding * Dehydration * Cullen sign (periumbilical ecchymosis) * Grey Turner sign (flank ecchymosis) Investigations Blood Tests * Serum lipase (preferred
Psychological factors also matter: weight loss is emotionally complex
Children are still developing good oral hygiene habits, while older adults may experience receding gums that expose the softer root surfaces of teeth to decay
These moves are strategically designed to expand access, regain market share eroded by Lilly's tirzepatide franchise, and battle the presence of compounded semaglutide in the market
