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Monday, 24 September 2012

RANSON’S PROGNOSTIC CRITERIA FOR PANCREATITIS



ACUTE PANCREATITIS NOT DUE TO GALLSTONES
ACUTE PANCREATITIS DUE TO GALLSTONES
AT ADMISSION/DIAGNOSIS


1.       Age
> 55 yrs
>70 yrs
2.       WBC Count
> 16,000 /µL
> 18,000 / µL
3.       Blood Glucose
>200 mg/dL
> 220 mg/dL
4.       Serum LDH
> 350 IU/L
> 400 IU/L
5.       Serum AST/SGOT
>250 U/L
> 250 U/L



DURING INITIAL 48 HRS


1.       Hematocrit ↓
> 10 points
> 10 points
2.       BUN ↑
> 5 mg/dL
> 2 mg/dL
3.       Serum Calcium
< 8 mg/dL
< 8 mg/dL
4.       Arterial PO2
< 60 mm Hg
-
5.       Base Deficit
> 4 mEq/L
> 5 mEq/L
6.       Estimated Fluid Sequestration
> 6 L
>4 L


1 comment:

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