Monu, a 30 year old male, a chronic alcoholic presents with sudden onset of epigastric pain that radiates to the back. All are seen Except:
Answer is A (Low serum Lipase) The presence of sudden onset epigastric pain that radiates to the back in an alcoholic patient suggests the diagnosis of Acute Pancreatitis. Acute pancreatitis is characterized by, an elevated serum lipase !eve and not a low serum lipase 'An elevated serum lipase is more specific for pancreatitis than a serum amylase level'- Harrison
Low serum lipase
Increased LDH
Hypocalcemia
Increased serum amylase