Jane L a 30 year old woman was seen in the ER with severe ep

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 nauses and vomiting. The chemistry and hematology tests shown in Tables 2-8and 2-9 were ordered. Sodium 140 refrence range 135-145mEq/L, Potassium 3.6 refrence range 3.6-5.0mEq/l, Chloride 106 refrence range 98-107mEq/L, CO2 29.0 refrence range 24.0-43.0m Eq/L, Glucose 116 range range 80 QUESTIONS TO ANSWER:
1.Looking at Jane’s lab profile, it is indicative of what condition?
2.What are the two most common causes of this condition?
3.Which lab result is critical in the diagnosis of this disease?
4.Discuss the significance of the Hematology results?

Solution

Ans 1: By looking into the Jane\'s profile we can say she is suffering from chronic pancreatitis

Ans 2: Alcohol abuse is the most frequent cause of chronic pancreatitis, but autoimmune diseases, gallstones, cystic fibrosis, and several other conditions can also cause it. The damage caused by chronic pancreatitis is usually permanent.

Ans 3:

In the diagnosis of acute pancreatitis, the following tests are diagnostically most useful:

Reference Range

Serum amylase and isoenzymes 30-150 U/L

Serum lipase 20-250 U/L

Acute pancreatitis often is accompanied by changes in other biochemical parameters which are less specific:

Serum calcium (dec)
Serum bilirubin ­(inc)
Serum methemalbumin ­(inc)
Triglycerides ­(inc)
Plasma glucose ­ (inc)