Surgery Definition – What investigation needed for acute pancreatitis?
Surgery Definition – What investigation needed for acute pancreatitis?
Investigation needed for acute pancreatitis may include full blood count ( level of white blood count, hematocrit and hemoglobin ), urea and electrolytes to identify the state of hydration, liver function test ( AST, LDH level, raised ALP indicates the present of gallstone), bone profile is considered for calcium detection, random blood sugar level, arterial blood gas for detection of any metabolic acidosis, amylase, group and cross match, CRP, lipid profile to rule out hyperlipidemia and erect chest x ray is considered to rule out perforated duodenal ulcer if no air under the diaphragm and adult respiratory distress syndrome which present with cotton wool opacification of the lung fields.
Abdominal x ray may reveal sentinel loop. Gallstone only rarely detected on the abdominal x ray and calcific stippling or saponification is seen in chronic pancreatitis. Ultrasound and CT scan are considered to rule out pseudocyst, abscess, gallstones and necrosis. ECRP is taken if cholelithiasis is identified.
Investigation needed for acute pancreatitis may include full blood count ( level of white blood count, hematocrit and hemoglobin ), urea and electrolytes to identify the state of hydration, liver function test ( AST, LDH level, raised ALP indicates the present of gallstone), bone profile is considered for calcium detection, random blood sugar level, arterial blood gas for detection of any metabolic acidosis, amylase, group and cross match, CRP, lipid profile to rule out hyperlipidemia and erect chest x ray is considered to rule out perforated duodenal ulcer if no air under the diaphragm and adult respiratory distress syndrome which present with cotton wool opacification of the lung fields.
Abdominal x ray may reveal sentinel loop. Gallstone only rarely detected on the abdominal x ray and calcific stippling or saponification is seen in chronic pancreatitis. Ultrasound and CT scan are considered to rule out pseudocyst, abscess, gallstones and necrosis. ECRP is taken if cholelithiasis is identified.
