Acute Pancreatitis Investigations 2

Deferential diagnosis

*  Biliary tract  disease

   and

*  Intestinal obstruction

*  Acute   and    chronic

   renal failure

 Prognosis

If  serum calcium values fall below 7.5mg/100 ml.,  it  generally

indicates a poor prognosis because of the extensive disease.

The other factors associated with poor progress are:

*  Age above 55 years

*  Blood glucose more than 200 mg

*  WBC more than 16000/mm

*  Fall in Haematocrit > 10% in 48 hours.

X-ray of abdomen shows:

*  "Sentinal loop" in upper jejunum

Oral  chlorocystography during an attack may show  biliary  tract

stones.

A CT Scan or ultrasound can also aid diagnosis

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