Clincal Station

Question 1

Why is liapse used more than amylase in pancreatitis

Answer 1

Lipase levels remain elevated longer than amylase

Some evidence suggests lipase is more specific and sensitive

BOTH have non-pancreatitis related conditions that cause elevated levels i.e gall stones, intestinal obstruction

Question 2

What are the scoring systems for pancreatitis

Answer 2

Glasgow (Imrie criteria)
- PANCREAS
- PO2<8
- Age >55
- Neutrophilia >15
- Calcium < 2
- Renal function - urea >16
- Enzymes - LDH >600, AST>200
- Albumin < 32
S - BM>10

Balthazar (CT scan interpretation)

Question 3

What does a Glasgow score of 3 represent

Answer 3

Severe pancreatitis - referral to ITUo