Wednesday 8 August 2012

acute panc

Today we discussed the etiology and prognostic considerations in acute pancreatitis.

A great article that addressees the prognostic scores and some guidelines is here.

This includes a newer predictive score:
BUN>9
Impaired mental status
Sirs (2 criteria)
Age >60
Pleural effusion

A score of 3 or more correlates with high risk of death or sever pancreatitis.
Less than 3 had a 99% NPV for death (WOW).

Those are hopefully the ones we see more often on the ward.

The RANSON"s score, which is more often referred to, does point out some important complications to watch for, such as hypoglycaemia and hypocalcemia.

The NEJM review can be found here.


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