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Message: <blockquote data-quote="coolioWiZ" data-source="post: 3097792" data-attributes="member: 40999">prognosis is the techniques and data used to diagnose a disease.so in this case the prognosis is the test for plasma lipase levels . . the docs have a complex series of indicators which they can use to confirm their diagnose.eg this is one prognosis for pancreatitis, note the indicator values <img src="/styles/default/xenforo/smilies/default/happy.gif"  class="smilie" loading="lazy" alt=":)" title="Happy    :)" data-shortname=":)" />[CODE]APACHE II scaleEquation includes the following factors: age, rectal temperature, mean arterial pressure, heart rate, PaO2, arterial pH, serum potassium, serum sodium, serum creatinine, hematocrit, white blood cell count, Glasgow Coma Scale score, chronic health statusScoring: Can be calculated at http://www.sfar.org/scores2/apache22.html#calculCT Severity IndexCT gradeA is normal pancreas (0 points)B is edematous pancreas (1 point)C is B plus mild extrapancreatic changes (2 points)D is severe extrapancreatic changes plus one fluid collection (3 points)E is multiple or extensive fluid collections (4 points)Necrosis score:None (0 points)> One third (2 points)< One third but less than one half (4 points)> One half (6 points)Scoring: CT grade + necrosis scoreImrie scoring systemAge > 55 yearsWhite blood cell count > 15,000 per mm3 (15.0 × 109 per L)Blood glucose > 180 mg per dL (10 mmol per L) in patients without diabetesSerum lactate dehydrogenase > 600 U per LSerum AST or ALT > 100 U per LSerum calcium < 8 mg per dLPaO2 < 60 mm HgSerum albumin < 3.2 g per dL (32 g per L)Serum urea > 45 mg per dL (16.0 mmol per L)Scoring: One point for each criterion met 48 hours after admissionRanson's criteriaAt admission or diagnosis:Age > 55 yearsWhite blood cell count > 16,000 per mm3 (16.0 × 109 per L)Blood glucose > 200 mg per dL (11.1 mmol per L)Serum lactate dehydrogenase > 350 U per LAST > 250 U per LDuring initial 48 hours:Hematocrit decrease > 10 percentBlood urea nitrogen increase > 5 mg per dL (1.8 mmol per L)Serum calcium < 8 mg per dL (2 mmol per L)Base deficit > 4 mmol per L (4 mEq per L)Fluid sequestration > 6,000 mLPaO2 < 60 mm HgScoring: One point for each criterion metAPACHE II = Acute Physiology and Chronic Health Evaluation; PaO2 = partial arterial oxygen tension; CT = computed tomography; AST = aspartate transaminase; ALT = alanine transaminase.Information from references 16 through 19.[/CODE]</blockquote>

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