<prompt> A 30 year old patient is investigated for acute pancreatitis. Which scoring system is used for early prediction of moality?BISAPBalthazar scoring systemRansonsAPACHE II  <response>: Early predictors of severity at 48 hours included 3 Ransons signs and APACHE II score 8. A recent scoring system for the early prediction of moality was developed in acute pancreatitis. This scoring system known as the Bedside Index of Severity in Acute Pancreatitis BISAP, incorporates five clinical and laboratory parameters obtained within the first 24 hours of hospitalization. BUN 25, Impaired mental status, SIRS, Age 60 years, Pleural effusion on radiography. Presence of three or more of these factors was associated with increased risk for in-hospital moality. Reference: Harrisons Principles of Internal Medicine, 18th Edition, Page 2639 