Presentation
This syndrome is presented in a patient with cholecystitis and a partial small bowel obstruction accompanied by persistent pre- and postoperative hyperamylasemia with proven macroamylasemia. [ncbi.nlm.nih.gov]
Entire Body System
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Ankle Edema
Even if physical examination showed only mild bilateral ankle edema, without major features of congestive heart failure or ischemic disease, or abdominal complaints/pathologic findings, the confirmed high levels of total creatine kinase and amylase [pancreas.imedpub.com]
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Congestive Heart Failure
Even if physical examination showed only mild bilateral ankle edema, without major features of congestive heart failure or ischemic disease, or abdominal complaints/pathologic findings, the confirmed high levels of total creatine kinase and amylase [pancreas.imedpub.com]
Gastrointestinal
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Chronic Abdominal Pain
An 11-year-old girl was referred for chronic abdominal pain and growth retardation associated with persistent hyperamylasemia and suspected chronic pancreatitis. [ncbi.nlm.nih.gov]
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Periumbilical Pain
Case Report: A 5-year old boy was presented to a tertiary-care hospital with periumbilical pain, vomiting and fever for one day. Patient had history of recurrent abdominal pain over the prior year. His mother had history of pancreatitis. [omicsonline.org]
Psychiatrical
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Hunger
Well Photo Credit Illustration by Celia Jacobs Outrunning Hunger Intense exercise may change the way certain neurons influence our appetite and metabolism. [nytimes.com]
Neurologic
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Meningism
[…] in the parietal and visceral peritoneum, as a fragment of splenic tissue in the bed of a remote organ, as well as in the retroperitoneal space and in the extra-abdominal one - in the pleural cavity, pericardium, and postoperative scar and even in the meninges [rmojs.unina.it]
Urogenital
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Vaginal Bleeding
She presented in her 32 nd week plus 3 days of gestation with regular contractions and antepartum vaginal bleeding, without cervical dilation or effacement. [degruyter.com]
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Testicular Pain
Splenosis as a cause of testicular pain: laparoscopic management J Endourol. 1999; 13(5):373-5. [PMID: 10446800] 21. Kiroff GK, Mangos A, Cohen R, Chatterton BE, Jamieson GG. Splenic regeneration following splenectomy for traumatic rupture. [rmojs.unina.it]
Workup
This disorder should be considered in a patient with asymptomatic hyperamylasemia because its detection can obviate a prolonged diagnostic workup. The condition requires no treatment and may be transient. [ncbi.nlm.nih.gov]
By the end of this session the reader should be able to : Describe the most common nonspecific biochemical findings in serum in acute pancreatitis Discuss the use of serum amylase in the laboratory workup of acute pancreatitis Discuss amylase isoenzymes [ucsdlabmed.wikidot.com]
Serum
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Amylase Increased
Amylase increases may occur postoperatively, resulting in increased S-type and P-type isoamylases; however, an increase in salivary amylase is more common. [emedicine.medscape.com]
increased but 24-hr test is in range. tech should: repeat after polyethylene glycol pptn cyclic antidepressants are classified as analysis of erythrocytes for uroporphyinogen I synthetase detects acute intermittent porphyria prep for patient with standard [quizlet.com]
Hypertrophy
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Ventricular Hypertrophy
The most important anamnestic findings were a previous diagnosis of arterial hypertension with secondary cardiac involvement (left ventricular hypertrophy with an ejection fraction within the reference range) and a previous cholecystectomy (15 years before [pancreas.imedpub.com]
Treatment
However, in the presence of symptoms, especially of abdominal origin, it is important that this condition be identified accurately in order to avoid unnecessary treatment for pancreatitis or other related diseases. [ncbi.nlm.nih.gov]
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.ro]
Prognosis
The Grey Turner sign (ecchymoses of the flanks) and the Cullen sign (ecchymoses of the umbilical region) indicate extravasation of hemorrhagic exudate, occur in 1% of cases, and portend a poor prognosis. [msdmanuals.com]
"Acute pancreatitis: value of CT in establishing prognosis". Radiology. 174 (2): 331–6. doi : 10.1148/radiology.174.2.2296641. PMID 2296641. Gürleyik G, Emir S, Kiliçoglu G, Arman A, Saglam A (November 2005). [en.wikipedia.org]
[…] as true statement about HPLC absorption, partition, ion exchange, gel permeation 1 mole solute per kg solvent serum sample for acid phosphatase best prepared for room temp storage by estrogen and progesterone receptor assays are useful in assessing prognosis [quizlet.com]
Etiology
Article analyzes current data on macroamylasemia and splenosis, their etiology and diagnostics in particular. [ncbi.nlm.nih.gov]
Only one patient had family history of macroamylasemia, but 2 patients had relatives with elevated amylase of unknown etiology. [omicsonline.org]
Particular attention has been devoted to the manage ment of the more difficult therapeutic problems such as severe protracted pancreatitis, pancreatitis of unknown etiology, pancreatic pseudocyst, and pancreatic insufficiency. [books.google.ro]
This is the best test to use when the etiology of hyperamylasemia is obscure. Ref: iMedicine 2002 03192002 [enotes.tripod.com]
Epidemiology
Linguistic Variant - Portuguese, Brazil) 2015AB LNC-RU-RU (LOINC Linguistic Variant - Russian, Russia) 2015AB LNC-TR-TR (LOINC Linguistic Variant - Turkish, Turkey) 2015AB LNC-ZH-CN (LOINC Linguistic Variant - Chinese, China) 2015AB MCM (Glossary of Clinical Epidemiologic [doctor.am]
Epidemiology [ edit ] In the United States, the annual incidence is 18 cases of acute pancreatitis per 100,000 population, and it accounts for 220,000 hospitalizations in the US. [55] In a European cross-sectional study, incidence of acute pancreatitis [en.wikipedia.org]
Pathophysiology
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 58. Updated by: Michael M. [medlineplus.gov]
Molecular and Systemic Pathophysiology Amylase is an extracellular digestive enzyme that acts to cleave starch into di- and monosaccharides. The active cytoplasmatic form contains 496 amino acids with a molecular weight of around 54 kDa. [link.springer.com]
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 58. Tests for Macroamylasemia Reviewed By: Michael M. [huronregional.org]
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 58. Text only Tests for Macroamylasemia Reviewed By: Michael M. [leehealth.org]
Keywords Amylases; Creatine Kinase; macroamylase INTRODUCTION A distinctive characteristic of macroenzymes is a molecular mass higher than that of the corresponding enzymes normally found in serum under physiological or pathophysiological conditions [ [pancreas.imedpub.com]
Prevention
Abstract Macroamylasemia is a condition characterized by a serum amylase activity increase due to complex macromolecules whose large size prevents its urinary excretion. [ncbi.nlm.nih.gov]
Get optimal test results with guidance on error detection, correction, and prevention as well as cost-effective test selection. [books.google.ro]
Purposeful autotransplantation of splenic tissue is one of the splenosis variants used to prevent postsplenectomy syndrome, the effectiveness of which is so far under discussion [23]. [rmojs.unina.it]
Differential diagnosis in this case would have prevented unnecessary and expensive treatment for pancreatitis and spared stress to the patient caused by the pancreatitis misdiagnosis. [degruyter.com]
NCI_CTEP-SDC (Cancer Therapy Evaluation Program - Simple Disease Classification) 2015AB NCI_CareLex (Content Archive Resource Exchange Lexicon) 2015AB NCI_DCP (NCI Division of Cancer Prevention Program) 2015AB NCI_DICOM (Digital Imaging Communications [doctor.am]