Items tagged “pancreatitis”
9 results found
Article
Ranson criteria
Ranson criteria are useful in assessing prognosis in early acute pancreatitis. The more of the criteria are met the higher the mortality. Ranson criteria are assessed both at admission and at 48 hours.
Criteria
On admission
age: >55 years
white blood count: >16 000/mL
blood glucose level: >...
Article
Balthazar score
The Balthazar score is a subscore within the CT severity index (CTSI) for grading of acute pancreatitis.
The CTSI sums two scores:
Balthazar score: grading of pancreatitis (A-E)
grading the extent of pancreatic necrosis
The Balthazar score was originally used alone, but the addition of a sc...
Article
CT severity index in acute pancreatitis
The CT severity index (CTSI) is based on findings from an enhanced CT scan to assess the severity of acute pancreatitis. The severity of acute pancreatitis CT findings has been found to correlate well with clinical indices of severity.
The CT severity index sums two scores:
Balthazar score: g...
Article
Modified CT severity index (pancreatitis)
The modified CT severity index is an extension of the original CT severity index (CTSI) which was developed by Balthazar and colleagues in 1990 for distinguishing mild, moderate and severe forms of acute pancreatitis.
The original CT severity index has been followed internationally and has been...
Article
Revised Atlanta classification of acute pancreatitis
The Revised Atlanta classification of acute pancreatitis from 2012 is an international multidisciplinary classification of the severity of acute pancreatitis, updating the 1992 Atlanta classification.
The worldwide consensus aims for an internationally agreed-upon classification of acute pancre...
Article
Walled-off pancreatic necrosis
Walled-off pancreatic necrosis (WOPN) is a late complication of acute pancreatitis, although it can occur in chronic pancreatitis or as a result of pancreatic trauma. Differentiation of WOPN from pancreatic pseudocyst is essential because management differs. WOPN may need aggressive treatment to...
Article
Tropical pancreatitis
Tropical pancreatitis is a subtype of chronic pancreatitis associated with SPINK1 gene mutation, tropical countries, and the young age of onset. There are characteristic, large ductal calculi, which may measure up to a few centimeters in size. This is in contrast to the small, speckled calculi m...
Article
Cullen sign
Cullen sign refers to superficial edema visible as periumbilical discolouration and is most commonly seen in patients with acute pancreatitis 1-3.
Clinical presentation
Clinically patients with pancreatitis present with epigastric pain that radiates to the umbilical/periumbilical region and th...
Article
Acute pancreatitis severity criteria (mnemonic)
A mnemonic to remember the severity criteria for acute pancreatitis is:
PANCREAS
Mnemonic
P: PAO2 <8 kpA
A: age >55 years
N: neutrophilia (WBC >15 x 109 / L)
C: calcium <2 mmol/L
R: renal (urea >16 mmol/L)
E: enzymes (LDH >600 IU/L and AST >200 IU/L)
A: albumin (serum) <32 g/L
S: sugar...
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