Myocardial depression, hypocalcemia, hyperglycemia, and disseminated
intravascular coagulopathy(DIC) may also occur.
Assessment and Diagnostic Findings
History of abdominal pain, the presence of known risk factors,
In 90% of the cases, serum amylase and lipase levels usually rise in excess of
three times their normal upper limit within 24 hours
Serum amylase usually returns to normal within 48 to 72 hours. Serum lipase
levels may remain elevated for 7 to 14 days
Urinary amylase levels elevated and remain elevated longer than serum
amylase levels.
WBC is usually elevated.
Hypocalcemiais present in many patients and correlates well with the severity
of pancreatitis.
Transient hyperglycemia and glucosuriaand elevated serum bilirubinlevels
occur in some patients with acute pancreatitis.
X-ray.