Severity of Acute Pancreatitis | Medical Algorithm

Are you evaluating a patient with acute pancreatitis?

Yes

Age of the patient

years

SIRS score

Serum calcium

Blood glucose

PaO2 on room air (with FIO2 0.21)

Serum LDH

Total protein

Prothrombin time

seconds

Platelet count

Base excess

Hematocrit after hydration (enter from 0 to 100)

percent

Serum creatinine

BUN

Does the patient have?

• shock?

Yes

• respiratory failure?

Yes

• a mental disturbance?

Yes

• a severe infection?

Yes

• a coagulopathy with bleeding?

Yes

Pancreatic CT findings

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of prognostic factor I present

Number of prognostic factor II present

The pancreatitis is

Total score

Severity stage based on the total score

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Pancreatitis in HIV Patient Treated with Didanosine
Clinical Diagnosis, Including Family History For Genetics
- APACHE-O Score of Johnson et al for Evaluating a Patient with Severe Acute Pancreatitis
Criteria For Diagnosis
- Criteria of McMahon et al for Severe Acute Pancreatitis Based on the Appearance of Peritoneal Fluid (Leeds Criteria)
- EUS-Based Criteria of Catalano et al for the Diagnosis of Chronic Pancreatitis (Rosemont Classification)
Severity, Prognosis, Stage
Complications

Monitoring

Disease Progression
- Multiple Organ System Score (MOSS) of Taylor et al for Evaluating a Patient with Acute Pancreatitis
Complication Detection
- Complications Associated with a Pancreatic Pseudocyst and Indications for Drainage

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

Japanese Severity Scale (JSS) for Acute Pancreatitis

Purpose: To evaluate a patient with acute pancreatitis using the Japanese Severity Score (JSS).

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10