A 40-year-old female presents with severe central abdominal pain, radiating to the back. She is vitally stable with moderate tenderness in the epigastrium. Amylase 1500 iu/L ; WBC 11000/mcL and Ca++ 12 my/dl (Normal 8.5 – 10.2 my/dl). Ultrasound shows no evidence of gall Bladder stones. The likely diagnosis is:
سؤال مجاني 6 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Acute pancreatitis secondary to hyperparathyroidism
Pancreatitis (pain to the back, amylase 1500) with hypercalcemia (Ca 12 mg/dL) and no gallstones points to pancreatitis secondary to primary hyperparathyroidism: high calcium activates trypsinogen early, leading to autodigestion of the pancreas. Note that pancreatitis itself usually causes hypocalcemia, so a high calcium is a clue to the cause. A gallstone cause is unlikely with a normal ultrasound.
- المصدر
- Pancreatitis.pdf · p. 3
- المحاضرة
- Pancreatitis · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 142 Q33