<prompt> Which of the following is not a prognostic factor for acute pancreatitis :HypocalcemiaHyperglycemiaAST elevationIncreased serum amylase  <response>: Ans. is d i.e. Increased serum amylase. Ranson has identified a series of prognostic signs for early identification of patients with severe pancreatitis.There are 11 objective parameters, 5 are to be measured at the time of admission, whereas the remaining 6 are measured within 48 hours of admission.Morbidity and mortality of the disease are directly related to the number of signs present.Number of Ransons signs Approximate mortality0-2-03-4-155-6-506-70-90 Ransons Prognostic signs of Acute PancreatitisAt admissionDuring the initial 48hAge 55 y WBC 16,000mm3 Blood glucose 200 mgdL Serum LDH 350IUL Serum AST 250 UdLHematocrit fall 10 points BUN elevation 5 mgdL Serum calcium 8 mgdL Arterial P02 60 mm Hg Base deficit 4 mEqL Estimated fluid sequestration 6 L Also knowThe above given criteria are for Pancreatitis caused by causes other than gallstones.The prognostic criteria for acute gall stone pancreatitis are slightly different. These are: Criteria for gallstone pancreatitis At admissionDuring the initial 48 hAge 70 y WBC 18,000mm3 Blood glucose 220 mgdL Serum LDH 400IUL Serum AST 250 UdLHematocrit fall 10 points BUN elevation 2 mgdL Serum calcium 8 mgdL Base deficit 5 mEqL Estimated fluid sequestration 4L 