1. Severe pancreatitis with five positive criteria
Emergency clinicianBackground
A patient with acute non-gallstone pancreatitis meets three admission criteria and two criteria at 48 hours.
Problem
Calculate the total Ranson score and identify the corresponding severity category.
How to use
Select age over 55, WBC over 16,000/µL, and LDH over 350 IU/L at admission. At 48 hours, select calcium below 8 mg/dL and PaO₂ below 60 mmHg.
Admission criteria selected: age, WBC, LDH. 48-hour criteria selected: calcium, PaO₂.Outcome
The tool returns a total score of 5, with an admission score of 3 and a 48-hour score of 2. This is categorized as severe, with an estimated mortality of about 40%.