Ranson scoring for acute pancreatitis includes –
Correct Answer: Age>55yr
Description: Acute pancreatitis accounts for 3% of all cases of abdominal pain admitted to hospital. It affects 2-28 per 100 000 of the population and is increasing in incidence. It is a potentially serious condition with an overall moality of 10%. About 80% of all cases are mild and have a ourable outcome. Approximately 98% of deaths from pancreatitis occur in the 20% of patients with severe disease and about one-third of these arise within the first week, usually from multi-organ failure. After this time, the majority of deaths result from sepsis, especially that complicating infected necrosis. At admission, it is possible to predict patients at risk of these complications. Individuals who are predicted to have severe pancreatitis and those with necrosis or other complications should be managed in a specialist centre with an intensive care unit and multidisciplinary hepatobiliary specialists. Glasgow criteria for prognosis in acute pancreatitis* Age >55 years PO2 <8 kPa (60 mmHg) White blood cell count >15x109/L Albumin <32 g/L (3.2 g/dL) Serum calcium <2 mmol/L (8 mg/dL) (corrected) Glucose >10 mmol/L (180 mg/dL) Urea >16 mmol/L (45 mg/dL) (after rehydration) Alanine aminotransferase >200 U/L Lactate dehydrogenase >600U/L Ref Davidson edition23rd pg 837
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