Gastroenterology Education and CPD for trainees and specialists

Disclaimer:
The calculators allow you to enter patient specific information to calculate a simple score. All information is provided for educational purposes only. This information is not intended to replace clinical judgement. All calculations must be rechecked and should not be used alone to guide patient care. The user assumes sole responsibility for any decisions or action taken based on the information contained here.

Evaluate on admission and at 48 hours after admission.
On Admission:
Age > 55?	Yes +1
WBC > 16 on admission?	Yes +1
Glucose > 200 mg/dL son admission? Glucose > 10 mmol/L son admission?	Yes +1
LDH > 350 on admission?	Yes +1
AST > 250 on admission?	Yes +1
At 48 hours After Admission:
Hct drop > 10% within 48h of admission?	Yes +1
BUN increase > 5 mg/dL within 48h of admission? BUN increase > 1.79 mmol/L within 48h of admission?	Yes +1
Ca < 8 mg/dL within 48h of admission? Ca < 2 mmol/L within 48h of admission?	Yes +1
Arterial pO2 < 60 within 48h of admission?	Yes +1
Base deficit (24 - HCO₃) > 4 within 48h of admission?	Yes +1
Fluid needs > 6L within 48h of admission?	Yes +1
Score
Ranson’s score is used to predict the severity of acute pancreatitis. If the score is 3 or more, severe pancreatitis is likely Ranson JH, Rifkind KM, Roses DF, Fink SD, Eng K, Spencer FC . "Prognostic signs and the role of operative management in acute pancreatitis". Surgery, Gynecology & Obstetrics 1974; 139 (1): 69–81.

Gastroenterology training and education

Ranson’s Criteria for Pancreatitis Mortality

Clinical Calculators