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to ronin toha - yazdoc - ArchivalUser - 09-07-2009
in suspected pancreatic cancer
next step is= CT
( do we do USG first as next step if patient has jaundice in pancreatic cancer or straight CT)
2. why is stool elastase elevated in pancreatic exocrine insufficiency
0 - ArchivalUser - 09-07-2009
CT scan is the next step.
Levels of fecal elastase lower than 200 μg / g of stool indicate an exocrine insufficiency!!!!!!!
0 - ArchivalUser - 09-07-2009
agree!
0 - ArchivalUser - 09-07-2009
oh thanks !!!
and why does elastase level go down
0 - ArchivalUser - 09-07-2009
it was good i asked this q. i would have gone with elevated elastase. thanks guys . but why does it decrease
0 - ArchivalUser - 09-07-2009
Because it is called (insufficiency ) my friend.
0 - ArchivalUser - 09-07-2009
it reflects the secrtory capacity of the exocrine pancrease which supposed to be destroid.
0 - ArchivalUser - 09-07-2009
we know that if a person is travelling and has< 4 weeks we give Hep A IG and if he has > 4 weeks we give Hep A vaccine.
if answer choice has vaccine + IG and he has less than 4 weeks to go what to pick up
0 - ArchivalUser - 09-07-2009
but ronin, why not USS --> dialated CPD, in cases of ca pancrease with obstructive jundice!! i'm confused
0 - ArchivalUser - 09-07-2009
if the stem indicate that the traveller is an elderly, immunocompromised, or have chronic liver disease, so better to combine vaccine+IG