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assess mortality risk of acute pancreatitis The Ranson criteria form a clinical prediction rule for predicting the prognosis and mortality risk of acute pancreatitis . They were introduced in 1974 by the English - American pancreatic expert and surgeon Dr. John Ranson (1938–1995).
Acute pancreatitis (AP) is a sudden inflammation of the pancreas.Causes include a gallstone impacted in the common bile duct or the pancreatic duct, heavy alcohol use, systemic disease, trauma, elevated calcium levels, hypertriglyceridemia (with triglycerides usually being very elevated, over 1000 mg/dL), certain medications, hereditary causes and, in children, mumps.
In chronic pancreatitis, these tests may be normal. [1] Medical imaging such as ultrasound and CT scan may also be useful. [1] Acute pancreatitis is usually treated with intravenous fluids, pain medication, and sometimes antibiotics. [1] Typically eating and drinking are disallowed, and a nasogastric tube is placed in the stomach. [1]
Acute pancreatitis, ectopic pregnancy Grey Turner's sign refers to bruising of the flanks , the part of the body between the last rib and the top of the hip. The bruising appears as a blue discoloration, [ 1 ] and is a sign of retroperitoneal hemorrhage , or bleeding behind the peritoneum, which is a lining of the abdominal cavity.
acute pancreatitis, where methemalbumin formed from digested blood tracks around the abdomen from the inflamed pancreas; bleeding from blunt abdominal trauma; bleeding from aortic rupture; bleeding from ruptured ectopic pregnancy; Importance of the sign is on a decline since better diagnostic modalities are now available.
Murphy's sign has a high sensitivity and negative predictive value, although the specificity is not high. [2] However, in the elderly the sensitivity is markedly lower; a negative Murphy's sign in an elderly person is not useful for ruling out cholecystitis if other tests and the clinical history suggest the diagnosis.
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Ultrasonography [9] – the role of ultrasonography in imaging the pancreas is limited by patient habitus, operator experience and the fact that the pancreas lies behind the stomach (and so a gas-filled stomach will obscure the pancreas). Computerized tomography [10] – this is the gold standard for initial assessment and follow-up.
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