درر طبية

Modified Glasgow criteria for predicting severity of pancreatitis :

PANCREAS :

PaO2: less than 8 kPa ( 60 mmHg )
Age > 55 Yrs .
Neutrophils : WBC > 15 * 109 /L
Calcium less than 2 mmo/ L
Renal function : Urea > 16 mmol/L
Enzymes : LDH > 600IU/L , AST > 200IU/L
Albumin less than 32 g/L ( serum )
Sugar : blood glucose > 10 mmol/ L (unless diabetic patient )

Severity and prognosis worsen as the number of these factors increases . 3 or more positive factors detected within 48h of onset suggest severe pancreatitis, and should prompt transfer to ITU ( Intensive Therapy Unit ) .

Ranson criteria for predicting severity of pancreatitis:

At admission: عند القبول

"GA LAW" (GA is abbreviation for the U.S. state of Georgia):

Glucose >200 mg/dl
AST >250 IU/L
LDH >350 IU/L
Age >55 years
WBC >16000 / ml

Initial 48 hours:خلال أول 48 ساعة

"C & HOBBS" (Calvin and Hobbes):

Calcium : less than 8 mg/dl
Hct drop > 10%
Oxygen ( arterial PaO2 ) : less than 60 mmHg
BUN > 5 mg/dl
Base deficit > 4 mEq/L
Sequestration of fluid > 6L

Severity and prognosis worsen as the number of these factors increases . 3 or more positive factors suggest severe pancreatitis, and should prompt transfer to ITU ( Intensive Therapy Unit ) .