Purpose: To use ratios of chemistry tests to aid in the diagnosis of pancreatic disease.   Citations with documentation. 11.01.01to.03 Sriram & Svirbely 1997
 
conversion enter  
creatinine in µmol/L µmol/L equals 0 mg/dL
ALT in µKat/L µKat/L equals 0 U/L
amylase in µKat/L µKat/L equals 0 U/L
lipase in µKat/L µKat/L equals 0 U/L
 
data enter  
serum lipase in U/L U/L  
serum lipase, upper limit of normal in U/L U/L  
serum amylase in U/L U/L  
serum amylase, upper limit of normal in U/L U/L  
serum creatinine in mg/dL mg/dL  
serum creatinine, upper limit of normal, in mg/dL mg/dL  
peak serum ALT in U/L U/L  
serum ALT, upper limit of normal in U/L U/L  
 
calculate results  
data complete? Yes  
lipase as multiple of upper limit of normal 5.0  
which indicates: pancreatitis very likely  
amylase as multiple of upper limit of normal 3.3  
  :-):-):-)
lipase-to-amylase ratio 1.50  
which suggests: not alcoholic pancreatitis  
creatinine as multiple of upper limit of normal 0.9  
:-):-):-) :-):-):-)  
ALT as multiple of upper limit of normal 4.0  
 
     

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