pancreatic injury...

[Ronald Gross]

Should be up - with "should be" being the operative word......

>>> Anthony Caruso <medic541 at hotmail.com> 4/29/2008 11:04 AM >>>

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> -->
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