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Will the evolution of a pacient acute pancreatitis be more likely influenced by: palpation of an abdominal tumoral mass or by blood triglycerids over 180mg%?

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J.R. S. | Ph.D. in Biochemistry--University Professor--Chemistry TutorPh.D. in Biochemistry--University Profes...
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Do you mean "evaluation", not "evolution"?  Palpation would be a better indicator as the patient would respond to pain when being palpated.  There won't necessarily be a tumor, however.  Triglycerides of 180 mg% would not be an indicator of pancreatitis as normal levels are <150 mg% and should not exceed 200 mg%.  Triglyceride levels that affect pancreatic function are generally around 1000 mg%. Probably the best way to diagnose acute pancreatitis would be elevated blood levels of lipase and amylase.