You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Sonal, a 30 year old female, a chronic alcoholic presents with sudden onset of epigastric pain radiating to back came to ER. All are seen except:- and explain in detail?
PANCREATIC ENZYMES LEVEL IN ACUTE PANCREATITIS A three fold or higher elevation of amylase & lipase levels confirms the diagnosis. Amylase's serum half-life is shoer as compared with lipase. Lipase is also a more specific marker of AP because serum amylase levels can be elevated in peptic ulcer disease, mesenteric ischemia, salpingitis, and macroamylasemia. Patients with AP are typically hyperglycemic; they can also have leukocytosis and abnormal elevation of liver enzyme levels. Elevation of ALT levels in the serum in the context of AP has a positive predictive value of 95% in the diagnosis of acute biliary pancreatitis.