Sonal, a 30 year old female, a chronic alcoholic presents with sudden onset of epigastric pain radiating to back came to ER. All are seen except:-
PANCREATIC ENZYMES LEVEL IN ACUTE PANCREATITIS A three fold or higher elevation of amylase & lipase levels confirms the diagnosis. Amylase's serum half-life is shoer as compared with lipase. Lipase is also a more specific marker of AP because serum amylase levels can be elevated in peptic ulcer disease, mesenteric ischemia, salpingitis, and macroamylasemia. Patients with AP are typically hyperglycemic; they can also have leukocytosis and abnormal elevation of liver enzyme levels. Elevation of ALT levels in the serum in the context of AP has a positive predictive value of 95% in the diagnosis of acute biliary pancreatitis.
| Amylase
| Lipase
| ALT
Hyperglycemic
Pancreas