pancreatic injury...

[Anthony Caruso]

So, an elevated Lipase and Amylase would be suggestive possibly???  What would the lab findings be if such a case???
 
AMC> Date: Tue, 29 Apr 2008 10:22:18 -0400> From: Rgross at harthosp.org> To: trauma-list at trauma.org> Subject: RE: pancreatic injury...> > Anthony,> The problem isn't so much the bleeding, but rather the enzymatic> auto-digestion of the peri-pancreatic tissues after a pancreas is> injured but not noted on CT or PE - especially after blunt injury.> Ron> > >>> Anthony Caruso <medic541 at hotmail.com> 4/29/2008 10:14 AM >>>> > > Ron, is it because the bleeds tend to be slow and are well hidden by> the pancreas itself? If there is bleeding is it venous ?> Anthony Caruso /NREMT-P> > > > Date: Tue, 29 Apr 2008 09:55:18 -0400> From: Rgross at harthosp.org> To:> trauma-list at trauma.org> Subject: Re: pancreatic injury...> > Joe,> >> Unfortunately, it is NOT an uncommon occurance - there can indeed be> pancreatic injury not noted on CT and not noted on initial PE, but one> that manifests later on in the course of the day, 12 - 24 hours, in my> experience. I guess now the question I would ask is just what are you> calling significant, and what is not?> > Ron> > >>>> <joe.nemeth at mcgill.ca> 4/29/2008 9:36 AM >>>> > Question:> > Although> it is well known that traumatic pancreatic injury is poorly > seen on> CT...especially early on, I want to know how many of you have > seen> significant pancreatic injury which is occult, i.e. benign abdomen > on> exam...> > Timing of exam make a difference?...> > Will let you know why> I am asking later...> > thanks,> > Joe> > > Joe Nemeth MD> Dept. of> Emergency Medicine> McGill University> Montreal> --> trauma-list :> TRAUMA.ORG> To change your settings or unsubscribe visit:>> http://www.trauma.org/index.php?/community/> > --> trauma-list :> TRAUMA.ORG> To change your settings or unsubscribe visit:>> http://www.trauma.org/index.php?/community/ > _________________________________________________________________> Back to work after baby–how do you know when you’re ready?> http://lifestyle.msn.com/familyandparenting/articleNW.aspx?cp-documentid=5797498&ocid=T067MSN40A0701A--> > trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/
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Back to work after baby–how do you know when you’re ready?
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