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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

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