Q:

Which of the following is/are prognostic signs reported by Ranson to predict outcomes associated with acute pancreatitis?

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Which of the following is/are prognostic signs reported by Ranson to predict outcomes associated with acute pancreatitis?


  1. Age greater than 60 years
  2. Hematocrit decrease of 105 within 48 hours of hospital admission
  3. Serum amylase value greater than 4 times upper limit of normal
  4. Serum glucose greater than 200 mg/dL on admission
  5. Ca2+ level less than 8 mg/dL within 48 hours of hospital admission

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b. Hematocrit decrease of 105 within 48 hours of hospital admission

d. Serum glucose greater than 200 mg/dL on admission

e. Ca2+ level less than 8 mg/dL within 48 hours of hospital admission

Ranson prognostic signs include:

ON ADMISSION

Age above 55 years

White blood cell count above 16,000/µL

Glucose level above 200 mg/dL

Lactase dehydrogenate level above 350 IU/L

SGOT value above 250 IU/L

AFTER 48 HOURS

Hematocrit decrease of 10%

Blood urea nitrogen level increase  of 5 mg/dL

Ca2+ level below 8 mg/dL

PaO2 level below 60 mmHg

Base deficit value above 4 mEq/L

Fluid sequestration greater than 6 L

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