However there are certain problems with serum amvlase

Info icon This preview shows pages 404–417. Sign up to view the full content.

HOWEVER, THERE ARE CERTAIN PROBLEMS WITH SERUM AMVLASE MEASUREMENT - BESIDES PANCREATITIS, SERUM AMYLASE LEVEL IS ELEVATED IN TOO MANY OTHER CONDITIONS. - SERUM AMYLASE LEVEL TENDS TO RETURN TO NORMAL AFTER 48-72 HOURS EVEN IF PANCREATITIS IS PERSISTING. IT HAS NO CORRELATION WITH THE SEVERITY OF ACUTE PANCREATITIS. 404
Image of page 404

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

TITRE OF AMVLASE IN PANCREATITIS - - VALUE > 65 U/L RAISE THE QUESTION OF ACUTE PANCREATITIS - LEVELS > 130 U/L MAKE THE DIAGNOSIS MORE LIKELY - LEVEL > 3 TIMES THE NORMAL VIRTUALLY CLINCH THE DIAGNOSIS IF GUT PERFORATION AND INFARCTION HAVE BEEN RULED OUT. 405
Image of page 405
THE SERUM AMYLASE IS OFTEN ELEVATED IN OTHER CONDITIONS TOO, BECAUSE THE ENZVME IS ALSO PRESENT IN OTHER ORGANS IN ADDITION TO PANCREAS. . THESE ORGANS ARE - - SALIVARY GLANDS - SMALL INTESTINE - FALLOPIAN TUBE - LIVER - KIDNEY 406
Image of page 406

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

407
Image of page 407
SERUM LIPASE MEASUREMENT IS THE MOST SPECIFIC LABORATORY TEST FOR THE DIAGNOSIS OF ACUTE PANCREATITIS. - “A THREE FOLD ELEVATED SERUM LIPASE IS USUALLY DIAGNOSTIC OF ACUTE PANCREATITIS ” • AN IMPORTANT FEATURE OF SERUM LIPASE MEASUREMENT IS - SERUM LIPASE TENDS TO REMAIN ELEVATED FOR 7-14 DAYS 408
Image of page 408

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

Q- DIAGNOSIS DEFINITIVE DIAGNOSIS OF ACUTE PANCREATITIS IS DONE BY- A) AMYLASE B) LIPASE C) S. ALKALINE PHOSPHATASE D) INCREASED CA E) HYPERGLYCEMIA B 409
Image of page 409
INCREASED AMYLASE MAY BE SEEN IN ALL OF THE FOLLOWING EXCEPT- (AI97) A) PANCREATIC PSEUDOCYST B) APPENDICITIS C) PERFORATED PEPTIC ULCER D) RUPTURED ECTOPIC PREGNANCY B 410
Image of page 410

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

411
Image of page 411
MEDICAL TREATMENT OF PANCREATITIS ARE ALL, EXCEPT- (AIIMSMAY 94) A) CHOLESTYRAMINE B) APROTININ C) CALCIUM D) GLUCAGON 412
Image of page 412

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

TREATMENT OF PANCREATITIS T/T IS MAINLY SUPPORTIVE AND IT HAS AN IMPORTANT AIM OF RESTING THE PANCREAS THROUGH RESTRICTION OF ORAL FOODS AND FLUIDS. 413
Image of page 413
THERAPY WHICH ARE BENEFICIAL IN PANCREATITIS GASTRIC REST AND NUTRITION: . PATIENTS ARE KEPT WITH EMPTY STOMACH TO DECREASE NEUROHORMONAL STIMULATION OF PANCREATIC SECRETIONS. ORAL FEEDING IS RESUMED ONCE THE ATTACK HAS RESOLVED. 414
Image of page 414

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

FLUID AND ELECTROLYTE MANAGEMENT - AGGRESSIVE FLUID AND ELECTROLYTE REPLETION IS THE MOST IMPORTANT ELEMENT IN THE INITIAL MANAGEMENT OF PANCREATITIS. FLUID LOSSES CAN BE ENORMOUS AND CAN LEAD TO MARKED HEMOCONCENTRATION AS WELL AS HYPOVOLEMIA. ANTIBIOTICS - • ANTIBIOTICS ARE USEFUL ONLY IN CASES OF PANCREATIC NECROSIS. . THE ANTIBIOTICS WHICH HAVE BEEN PROVED USEFUL ARE - - METRONIDAZOLE - IMIPENEM AND - THIRD GENERATION CEPHALOSPORINS 415
Image of page 415
ANALGESICS - THE SEVERE PAIN OF ACUTE PANCREATITIS PREVENTS THE PATIENT FROM RESTING AND RESULTS IN ONGOING CHOLINERGIC DISCHARGE WHICH STIMULATES GASTRIC AND PANCREATIC SECRETION. . THEREFORE PAIN MANAGEMENT IS OF GREAT IMPORTANCE.
Image of page 416

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

Image of page 417
This is the end of the preview. Sign up to access the rest of the document.
  • Winter '16
  • jean grey
  • chronic hepatitis, chronic liver failure

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern