Which enzyme tends to rise earliest in pancreatitis?

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Multiple Choice

Which enzyme tends to rise earliest in pancreatitis?

Explanation:
In acute pancreatitis, the first enzyme to rise in the blood is amylase because it leaks quickly from the inflamed pancreatic tissue into the circulation. Serum amylase usually rises within about 6 to 12 hours after onset, peaks around 24 hours, and returns to normal within 3 to 5 days. Lipase can rise as well, but it tends to appear a bit later (often within 4 to 8 hours) and stays elevated longer, peaking around 24 to 48 hours and remaining high for up to 8 to 14 days. Trypsin and chymotrypsin are less reliable early markers and are not used as routinely for initial diagnosis. So the earliest rising enzyme among these is amylase.

In acute pancreatitis, the first enzyme to rise in the blood is amylase because it leaks quickly from the inflamed pancreatic tissue into the circulation. Serum amylase usually rises within about 6 to 12 hours after onset, peaks around 24 hours, and returns to normal within 3 to 5 days. Lipase can rise as well, but it tends to appear a bit later (often within 4 to 8 hours) and stays elevated longer, peaking around 24 to 48 hours and remaining high for up to 8 to 14 days. Trypsin and chymotrypsin are less reliable early markers and are not used as routinely for initial diagnosis. So the earliest rising enzyme among these is amylase.

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