Mnemonic Ranson's criteria Pancreatitis - spartans1

[ArchivalUser]

Mnemonic for memorizing Ranson's criteria
* At admission: "GA LAW" (Glucose, Age, LDH, AST, WBCcount)
* At 48 hours: "C HOBBS" (as in Calvin and Hobbes): (Calcium, Hematocrit, O2,
BUN, Basedeficit, Sequestration (of fluid) greater than 6 L

[ArchivalUser]

Pancreatitis know the RANSON criteria

At admission: "GA LAW" (Glucose, Age, LDH, AST, WBCcount)
* At 48 hours: "C HOBBS" (as in Calvin and Hobbes): (Calcium, Hematocrit, O2,
BUN, Basedeficit, Sequestration (of fluid) greater than 6 L


Epigastric pain and improved by moving forward
Dx w/ CT. Do U/S if suspect gallstone
Causes: Stones. High Trig, Mumps, Drups, HCTZ, Pentamidine, Valproate, didanosisn, tetracycline, sulfasalazien and 5-asa.
50 y/o, w/ WBC > 16K, Gluc > 200, AST > 250 and LDH > 350
at 48 hours low calcium,

Tx: NPO, IV fluids, NGT, CT of abdomen
Pt who is febrile & suspect pancreatic necrosis: Start imipenem, do CT guided aspiration and if + call surgical consult

Recurrent greasy stool & calcifications on pancreas on pt w/ etoh hx -> Dx. Chronic pancreatitis -> tx w/ enzymes

Pseudocyst of pancreas
Abdominal pain
Dx: U/S or CT scan
Tx: Observe for 6 wks & do cyst-enterostomy if not resolved
Symptom or infected- treat

Pancreas CA
High incidence of depression
Most important risk factor is smoking followed by etoh & chronic pancreatitis
Dx: U/S -> Negative do ERCP
Lab: Increased bilirubin & alk phos

[ArchivalUser]

thanks

[ArchivalUser]

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