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Medicine General 538285a1

The most specific laboratory test to establish a diagnosis of acute pancreatitis is:

A
Serum amylase
B
Serum lipase
C
Serum Alkaline phosphatase
D
Serum Calcium
High-Yield Explanation
Answer is B (Serum lipase) Serum lipase elevation is the most specific laboratory test for establishing a diagnosis of Acute Pancreatitis `A three fold elevated serum lipase value is usually diagnostic of acute pancreatitis' - Harrison Serum Lipase levels and serum amylase levels are both used to establish the diagnosis of acute pancreatitis An elevated serum Lipase level is more specific for pancreatitis than a serum amylase level because many other pathologic conditions may present with an elevated amylase level. Serum lipase is therefore the single best answer of choice.

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