Exam

Modified Glasgow Severity Criteria for Pancreatitis

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Modified Glasgow Severity Criteria for Pancreatitis, Imrie Scoring System for Pancreatitis, PANCREAS Score

  • Indications
  1. Evaluation of acute Pancreatitis Prognosis and severity in first 48 hours of admission
  • Criteria
  1. Arterial Oxygen Partial Pressure < 60 mmHg (8.0 kPa)
  2. Age > 55 years
  3. White Blood Cell Count >15 x10^3/mm3
  4. Serum Calcium <8.0 mg/dl (2.0 mmol/L)
  5. Blood Urea Nitrogen 44 mg/dl (16 mmol/L)
  6. Blood Glucose >180 mg/dl (10 mmol/L)
  7. Serum Albumin <3.2 g/dl (32 g/L)
  8. Lactate Dehydrogenase > (600 IU/L)
  1. Pa02 decreased
  2. Age increased
  3. Neutrophilia
  4. Calcium decreased
  5. Renal Urea increased
  6. Enzymes (Lactate Dehydrogenase) increased
  7. Albumin low
  8. Sugar Glucose increased
  • Interpretation
  1. Severe Pancreatitis
    1. More than 3 criteria present within first 48 hours of presentation