Amylase & lipase are enzymes derived from pancreatic acinar cells Both have their own advantages Where possible lipase is recommended as the assay of choice Amylase Serum amylase remains most commonly used in clinical practiceDiagnosis suggested when level is...
To Determine Diagnosis Diagnosis established by 2 of:Abdominal painSerum amylase and/or lipase >3x upper limit of normal Characteristic findings from abdominal imaging Serum Marker Lipase (preferable)Amylase To Determine Aetiology History & ExaminationHistory...
Ischaemia and autodigestion lead to necrosis of peri-pancreatic fat and surrounding tissue· Appearance changes over time: Early: appears as a diffuse semi-solid mass with no obvious demarcation Late (>4 weeks): develops a fibrinous wall making it more amenable to...
Often multifactorial: ARDS due to systemic cytokine release Pleural effusions due to third space fluid mobilization and aggressive fluid resuscitation· Pulmonary oedema (decreased cardiac contractility, capillary leak, fluid resuscitation)· Aspiration pneumonia...
A collection of pancreatic secretions resulting from pancreatic duct leakage: Become encased in granulation tissue Occurs in approximately 5% of cases of acute pancreatitis Presentation may be: Asymptomatic Isolated pain Due to complications including bleeding,...
