Ranson's prognostic scoring for pancreatitis: Which of the following is NOT part of the admission criteria?

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Multiple Choice

Ranson's prognostic scoring for pancreatitis: Which of the following is NOT part of the admission criteria?

Ranson’s pancreatitis scoring uses two time frames: what’s present on admission and what develops within the first 48 hours. On admission, the criteria are age over 55, white blood cell count over 16,000, blood glucose over 200 mg/dL, serum AST over 250 U/L, and LDH over 350 U/L. Calcium is not part of the admission set; a fall in calcium to below 8 mg/dL is a 48-hour prognostic sign, reflecting fat necrosis and systemic inflammation that signals more severe disease. So saying calcium is greater than 8 would not align with the admission criteria. The other options listed are indeed admission criteria, which is why they’re not the correct choice for “NOT part of the admission criteria.”

Ranson’s pancreatitis scoring uses two time frames: what’s present on admission and what develops within the first 48 hours. On admission, the criteria are age over 55, white blood cell count over 16,000, blood glucose over 200 mg/dL, serum AST over 250 U/L, and LDH over 350 U/L. Calcium is not part of the admission set; a fall in calcium to below 8 mg/dL is a 48-hour prognostic sign, reflecting fat necrosis and systemic inflammation that signals more severe disease. So saying calcium is greater than 8 would not align with the admission criteria. The other options listed are indeed admission criteria, which is why they’re not the correct choice for “NOT part of the admission criteria.”

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