Question 5#

According to Ranson criteria a 67-year-old female patient suspected of acute pancreatitis presenting to the OR with sudden onset of severe abdominal pain, a serum aspartate transaminase (AST) >250 U/dL, a white blood cell (WBC) > 16,000/mm3, and a blood glucose >200 mg/dL would receive a disease classification of:

a. Predicted severe
b. Predicted mild, uncomplicated
c. Predicted moderate
d. A mortality of 10%

Correct Answer is A


Ranson's prognostic signs of pancreatitis:

AST = aspartate transaminase; BUN = blood urea nitrogen; LDH = lactate dehydrogenase; P02 = partial pressure of oxygen; WBC = white blood cell count. Note: Fewer than 3 positive criteria predict mild, uncomplicated disease whereas more than 6 positive criteria predict severe disease with a mortality risk of 50%. Sources: Data from Ranson JHC. Etiological and prognostic factors in human acute pancreatitis.