Acute pancreatitis

Haritu oncall round dengan Dr. Aizat, dia tanya berapa serum amylase to diagnose acute pancreatitis.

"More than seribu," I answered.

Beliau jeling. "Buku mana ni? Ke main hentam je?"

Saya pun senyap sambil fikir muka surat berapa buku teks Kasr el Ainy cakap. Ke aku dengar sape cakap. Argh habis la Boss Aizat jeling.

Isha jawab three fold normal limit. Tu yang dia nak. Kiranya 300 ke atas la.

Harini belek buku.

"Serum amylase is usually elevated within a few hours to levels higher than 1000 IU/dL (normal value is 100-300 IU/dL). It remains elevated 2-3 days.

Ddx serum amylase <500 IU/dL:
1- perforated peptic ulcer
2- acute cholecystitis
3- intestinal obstruction
4- acute mesenteric ischemia"

Page 521 Kasr el Ainy Surgical Textbook, Volume 2

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