Sat27November0556PM 35

Acute pancreatitis carries a worse prognosis when associated with

True / False

a serum calcium less than 2.00 mmol/L Correct

a PaO2 less than 8kPa Correct

a serum glucose greater than 16 mmol/L Correct

a white cell count greater than 15 X 109/L Correct

a blood urea greater than 16 mmol/L Correct

Explanation

Indicators of poor prognosis (Modified Imrie criteria): If a patient has two or more of the following paramters with a serum amylase more than 4 times the normal, they are suffering with severe acute pancreatitis and require admission to the high dependancy unit. PaO2 <60mmhg Age >55yrs WCC >15X10 Calcium <2.00mmol/l Urea >16mmol/L LDH >600 IU/L Albumin <32g/L Glucose >15mmol/L

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Average score: 82.51%

Times answered: 287