sunny2
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In Chronic Pancreatitis, most likely statment is :
1.serum amylase is markedly raised
2.the diagnosis can be excluded by the absence of calcification
3.associated diabetes require low dose insulin
4.most usual association is with cholelithiasis
5.an abdominal mass is usually present
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| frank100
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(4)
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| study_ing
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1 and 2 are definitely inaccurate. presence of calcification strongly favors chronic pancreatitis but its absence does not rule it out.
i dont see y an abdominal mass shud be present. 3 and 4, im not sure of. 3 cud be correct as there is nothing wrong with receptor sensitivity and innate insulin prodiuction may be inadequate rather than absent.
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| study_ing
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acute rather than chronic pancreatitis is asso with gallstones. for chronic, think more about alcohol.
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| humbty
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12,4,5 are clearly wrong so I would go for 3
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| wyvern
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Three
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| icemaiden
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3). Here both insulin and glucagon are decreased,so must be careful with giving too much insulin.
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| sunny2
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study_ing , you answered first....good job on elimination and explanation as well.
Answer is 3. Diabetes associated with acute pancreatitis usually require relatively low dose of Insulin. In DM it is the peripheral insulin resistence which increases the requirement for insulin.
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| som
Forum Guru
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isn't that if the insulin level decreases in pancraetitis, don we have to increase the dose? sorry for the dumb que..can u pls expalin it a li'l bit more.
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