Priyanshu Raj Test Reports
Priyanshu Raj Test Reports
Priyanshu Raj Test Reports
Comments
Amylase is produced in the Pancreas and most of the elevation in serum is due to increased rate of Amylase
entry into the blood stream / decreased rate of clearance or both. Serum Amylase rises within 6 to 48 hours
of onset of Acute pancreatitis in 80% of patients, but is not proportional to the severity of the disease. Activity
usually returns to normal in 3-5 days in patients with milder edematous form of the disease. Values persisting
longer than this period suggest continuing necrosis of pancreas or Pseudocyst formation. Approximately 20%
of patients with Pancreatitis have normal or near normal activity. Hyperlipemic patients with Pancreatitis also
show spuriously normal Amylase levels due to suppression of Amylase activity by triglyceride. Low Amylase
levels are seen in Chronic Pancreatitis, Congestive Heart failure, 2nd & 3rd trimesters of pregnancy,
Gastrointestinal cancer & bone fractures.
Comments
Pancreas is the major and primary source of serum lipase though lipases are also present in liver, stomach,
intestine, WBC, fat cells and milk. In acute pancreatitis, serum lipase becomes elevated at the same time as
amylase and remains high for 7-10 days. Increased lipase activity rarely lasts longer than 14 days. Prolonged
increase suggests poor prognosis or presence of a cyst. The combined use of serum lipase and serum
amylase is effective in ruling out acute pancreatitis.
Increased levels
Acute & Chronic pancreatitis.
Obstruction of pancreatic duct.
Non pancreatic conditions like renal diseases, acute cholecystitis, intestinal obstruction, duodenal ulcer,
alcoholism, diabetic ketoacidosis and following endoscopic retrograde cholangiopancreatography.
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Shop No 467, Bhadedih Karma,
Jhumri Telaiya, Jharkhand 825409
07004144413
Note: 1. Titres 1:80 and above of “O” antigen & 1:160 and above of “H” antigen are significant
2. Rising titres are significant
3. The recommended Widal test is by Tube Agglutination Method
Comments
This test measures somatic O and flagellar H antibodies against Typhoid and Paratyphoid bacilli. The
agglutinins usually appear at the end of the first week of infection and increase steadily till third / fourth
week after which the decline starts. A positive Widal test may occur because of typhoid vaccination or
previous typhoid infection and in certain autoimmune diseases. Non specific febrile disease may cause
this titre to increase (anamnestic reaction). The test may be falsely negative in cases of Enteric fever
treated with antibiotics in the early stages. The recommended test specially in the first week after infection
is Blood Culture.
Page 2 of 4
Shop No 467, Bhadedih Karma,
Jhumri Telaiya, Jharkhand 825409
07004144413
Page 3 of 4
Shop No 467, Bhadedih Karma,
Jhumri Telaiya, Jharkhand 825409
07004144413
Note
1. As per the recommendation of International council for Standardization in Hematology, the differential
leucocyte counts are additionally being reported as absolute numbers of each cell in per unit volume of
blood
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