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Ranson's criteria

At presentation,

  "LEGAL"

  • Leucocytes >16000
  • Enzyme AST >250
  • Glucose >200
  • Age >55
  • LDH >350

Within 48 hours,

   "C.HOBBS"

  • Calcium < 8mg/dL  
  • Hematocrit fall of >10%
  • PaO2 < 60 mmHg
  • Base deficit > 4 mmol/l
  • BUN rise > 5
  • (Fluid) Sequestration > 6 litres

 

Ranson's criteria is used to predict the severity of acute pancreatitis. It is classified as severe when 3 or more factors are present.

 

5

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imageContrast enhanced CT is indicated if there is a diagnostic uncertainity and in severe acute pancreatitis to distinguish interstitial from necrotising pancreatitis. Balthazar criteria may be used to stage pancreatitis detected on CT scan.

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