<prompt> Ranson scoring for acute pancreatitis includes -Age55yrWBO 16000ulSequestration fluid 3LBUN lOmgdl  <response>: Acute pancreatitis accounts for 3 of all cases of abdominal pain admitted to hospital. It affects 2-28 per 100 000 of the population and is increasing in incidence. It is a potentially serious condition with an overall moality of 10. About 80 of all cases are mild and have a ourable outcome. Approximately 98 of deaths from pancreatitis occur in the 20 of patients with severe disease and about one-third of these arise within the first week, usually from multi-organ failure. After this time, the majority of deaths result from sepsis, especially that complicating infected necrosis. At admission, it is possible to predict patients at risk of these complications. Individuals who are predicted to have severe pancreatitis and those with necrosis or other complications should be managed in a specialist centre with an intensive care unit and multidisciplinary hepatobiliary specialists. Glasgow criteria for prognosis in acute pancreatitis Age 55 years PO2 8 kPa 60 mmHg White blood cell count 15x109L Albumin 32 gL 3.2 gdL Serum calcium 2 mmolL 8 mgdL corrected Glucose 10 mmolL 180 mgdL Urea 16 mmolL 45 mgdL after rehydration Alanine aminotransferase 200 UL Lactate dehydrogenase 600UL Ref Davidson edition23rd pg 837 