A CT scan of the pancreas has been arranged for her
today, the sensitivity of which is not 100% as in mild
pancreatitis the pancreas can appear absolutely normal
on CT or ultrasound scan. Her DKA improved with usual
therapy and her serial amyalse levels were: 855, 501
and 127 IU/L. Clinically she is much better.
Mohammad
--- William Marshall <[log in to unmask]>
wrote: > What did pancreatic ultrasound show? Did you
do a
> lipase? What happened to
> the amylase once her oliguria resolved?
> WM
> At 12:23 15/10/2002 +0100, Mohammad Al-Jubouri
> wrote:
> >Dear All
> >
> >A 17-year-old lady was admitted to our HDU with DKA
> >last week end. She had abdominal pain and her serum
> >amylase was elevated at 1483 IU/L (16 - 108). This
> is
> >too high for DKA associated hyperamylasaemia and I
> >would certainly consider acute pancreatitis either
> >causing the DKA or coincidental with it. The
> admission
> >sample was certainly grossly lipaemic which raises
> the
> >possibility of hypertriglycerdiamia induced acute
> >pancreatitis. My question is, what are amylase
> levels
> >that can be attributed to DKA only and what is the
> >cause of this elevation in the absence of acute
> >pancreatitis?
> >
> >thanks
> >
> >Mohammad
> >
> >=====
> >Dr. M A Al-Jubouri
> >Consultant Chemical Pathologist
> >
> >__________________________________________________
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=====
Dr. M A Al-Jubouri
Consultant Chemical Pathologist
__________________________________________________
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http://uk.my.yahoo.com
------ACB discussion List Information--------
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community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
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