Question

Case Study #1 Jane L., a 30-year old woman, was seen in the ER with severe epigastric pain radiating to the back! that woke her from sleep. She also complained of nausea and vomiting. The chemistry test shown below were ordered. Chemistry Tests Sodium Patient = 140 mEq/L Reference Range = 135-145 mEq/L Potassium Patient - 3.6 mEq/L Reference Range = 3.6-5.0 mEq/L Chloride Patient = 106 mEq/L Reference Range = 98 - 107 mEq/L CO2 Patient = 29.0 mE/L Reference Range = 24.0 - 34.0 mEq/L Glucose Patient = 116 mg/dL

Answer 1

1.

Jane L, was seen in ER with severe epigastric pain radiating to back.

Lab diagnostic shows

Amylase - 738 IU/L

Amylase is in a very high range, Normal value of Amylase in the body is 10 to 110 IU/L

Lipase - 3970 IU/L

Lipase also in the very high range, Normal value of Lipase in the body is 31 to 186 IU/L

yGT - 335 IU/L

Normal range of yGT is 13 to 86 IU/L

2.

Patient symptoms and lab values indicate Pancreatitis.

Infection and inflammation of the pancreas is called Pancreatitis.

3.

2 most common cause of Pancreatitis is..

Gall bladder stones

Alcohol intake

4.

Amylase and Lipase is critical in the diagnosis of Pancreatitis.

Amylase and Lipase are 2 powerful digestive enzymes of the pancreas which helps in digestion, Increased level of Amylase and Lipase indicates an infection and inflammation of the pancreas.