You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Poor prognostic factor in a patient which acute pancreatitis: and explain in detail?
Ans. (a). Leucocytosis >20,000/mRef: Sabiston 19/ep 1522RANSONS CRITERIA On admissionWithin 48 hrs * L- LDH >700u/l* A- AST >250 sigma frankel units %* G- Glucose >10mmol/l* A- Age>55 yrs* W-WBC Count >16000/mm3* B-Base deficit >4mmol/l* U- Blood Urea N2 >5mg%* C-Calcium <2.0mmol/l* H- Haematocrit fall >10%* O- Arterial O2 saturationPaO2 <60mmHg* W- Water sequestration >6l* Serum Amylase, Lipase is not included in Ranson's Score and not useful in severity assessment* WBC count >16000/mm3 has bad prognosis