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Known case of gall stones presents with chief complaints of severe abdominal pain and elevated levels of serum lipase with periumbilical ecchymosis. The following values help to predict the severity except
700u/l* A- AST >250 sigma frankel units %* G-Glucose >10mmol/l* A- Age >55yrs* W- WBC Count >16000/mm3* B-Base deficit >4mmol/l* U-Blood Urea N2 >5mg%.* C-Calcium 2.0mmol/l* H- Haematocrit fall >10%* O-Arterial O2 saturation PaO2 6l">
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