A 48-year-old alcoholic man is admitted with acute pancreatitis. Which set of parameters is used to assess severity and mortality risk in acute pancreatitis within the first 48 hours?

• A APGAR score
• B Child-Pugh score
• C MELD score
• D Ranson's criteria ✓

Explanation

Ranson's criteria (11 parameters assessed at admission and 48 hours) is the classic prognostic scoring system for acute pancreatitis mortality. Child-Pugh score grades severity of cirrhosis. MELD score predicts mortality in end-stage liver disease and prioritizes transplant listing. APGAR score assesses newborn well-being. While APACHE II and BISAP are also used, Ranson's remains the classic system taught in Indian medical curricula.

Reference: Bailey and Love's Short Practice of Surgery, 28th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.