Correct Answer - C Ans. C: S.lipase Serum markers for diagn | Surgery videos & books
Correct Answer - C Ans. C: S.lipase
Serum markers for diagnosis of acute pancreatitis: Alanine transaminase-Associated with gallstone pancreatitis; three fold elevation or greater in the presence of acute pancreatitis has a positive predictive value of 95 percent in diagnosing acute gallstone pancreatitis
Amylase Most accurate when at least twice the upper limit of normal; amylase levels and sensitivity decrease with time from onset of symptoms
C-reactive protein Late marker; high levels associated with pancreatic necrosis
Lipase Increased sensitivity in alcohol-induced pancreatitis; more
specific and sensitive than amylase for detecting acute pancreatitis
Phospholipase A2 Associated with development of pancreatic necrosis and pulmonary failure detection of severity; high concentrations in infected necrosis
Trypsinogen activation peptide Early marker for acute pancreatitis and close correlation to severity