SAQ 428 – Gastroenterology – acute pancreatitis with obstructive LFTs

Marked out of 10.00

A 25-year-old woman presents with severe epigastric pain and vomiting. Her biochemistry is shown below.

Test	Result	Reference range
Sodium	132 mmol/L	135-145
Potassium	3.9 mmol/L	3.5-5.0
Chloride	101 mmol/L	98-110
Bicarbonate	24 mmol/L	22-32
Urea	4.6 mmol/L	2.5-7.0
Creatinine	60 micromol/L	45-90
ALP	248 IU/L	30-120
GGT	309 IU/L	7-64
AST	27 IU/L	0-35
ALT	55 IU/L	0-45
Bilirubin	43 micromol/L	0-20
Lipase	448 IU/L	0-60

State the most likely diagnosis.

(Marked out of 1.0)

/ 1

Give two (2) likely underlying causes and the evidence supporting each.

(Marked out of 2.0)
</p> <table class="saq-prop-table"> <thead> <tr> <th>Cause</th> <th>Supporting evidence</th> </tr> </thead> <tbody> <tr> <td>1.</td> <td></td> </tr> <tr> <td>2.</td> <td></td> </tr> </tbody> </table> <p>

/ 2

List three (3) important complications.

(Marked out of 3.0)

/ 3

List four (4) features available on admission that help estimate prognosis.

(Marked out of 4.0)

/ 4

Total Score: 0 / 10

Percentage: 0%