<prompt> Poor prognostic factor in a patient which acute pancreatitis:Leucocytosis 20,000mLserum amylaseserum lipaseDiastolic BP 90 mm Hg  <response>: Ans. a. Leucocytosis 20,000mRef: Sabiston 19ep 1522RANSONS CRITERIA On admissionWithin 48 hrs L- LDH 700ul A- AST 250 sigma frankel units G- Glucose 10mmoll A- Age55 yrs W-WBC Count 16000mm3 B-Base deficit 4mmoll U- Blood Urea N2 5mg C-Calcium 2.0mmoll H- Haematocrit fall 10 O- Arterial O2 saturationPaO2 60mmHg W- Water sequestration 6l Serum Amylase, Lipase is not included in Ransons Score and not useful in severity assessment WBC count 16000mm3 has bad prognosis 