Acute Pancreatitis Investigations 1

DIAGNOSIS                           INVESTIGATIONS IN SEVERE

                                          ACUTE PANCREATITIS

Estimation    of    serum                 * Haemoglobin estimation &

amylase  is  most   often                   white cell count

used    for    diagnosis.                 * Arterial blood gas

Serum  amylase over  1000                   estimations

units is diagnostic                       * Blood sugar

                                          * Serum electrolytes and

*  One  third  have  more                   urea

   than 500 units                         * Serum amylase

*  Another third patients                 * Liver function tests

   have  between 200  and                   (i.e. bilirubin,alkaline

   500 units                                phosphatase,lactate

                                            dehydrogenase (LDH),

Other  conditions in which                  tranaminases,serum

the serum amylase level is                  proteins)

elevated, include:                        * Serum calcium  and

                                            phosphate

*  Biliary tract  disease

   and

*  Intestinal obstruction

*  Acute   and    chronic

   renal failure

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