A 67-year-old man presents with 12 hours of severe upper-abdominal pain, fever, nausea, vomiting, and jaundice. He is exquisitely tender and guarded in the epigastrium and right upper quadrant. BP is 110/60 mmHg, HR 90/min, RR 22/min, and temperature 38.2 C. Initial results are shown below.
| Test |
Result |
Reference range |
| Sodium |
135 mmol/L |
135-145 |
| Potassium |
3.9 mmol/L |
3.5-5.0 |
| Chloride |
100 mmol/L |
95-110 |
| Bicarbonate |
27 mmol/L |
20-31 |
| Urea |
4.1 mmol/L |
2.7-7.8 |
| Creatinine |
62 micromol/L |
50-100 |
| Anion gap |
8 mmol/L |
5-15 |
| Total protein |
76 g/L |
60-80 |
| Albumin |
44 g/L |
35-50 |
| ALP |
577 IU/L |
40-115 |
| ALT |
972 IU/L |
<65 |
| GGT |
226 IU/L |
<55 |
| Total bilirubin |
89.4 micromol/L |
<25 |
| Lipase |
8,523 IU/L |
8-78 |
Other than pancreatitis, list three (3) likely differential diagnoses.
(Marked out of 3.0)
/ 3
State three (3) key interpretations of these results.
(Marked out of 3.0)
/ 3
List four (4) factors in this presentation predicting severe disease.
(Marked out of 4.0)
/ 4
List two (2) limitations of Ranson criteria.
(Marked out of 2.0)
/ 2
Total Score: 0 / 12
Percentage: 0%
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