]> 2026-07-31T07:52:03+00:00 WBR0523 0 en Serum calcium > 11 mg/dl '''Incorrect''' : Hypocalcemia is an indicator of severity of acute pancreatitis but not hypercalcemia. Blood glucose > 200mg/dl '''Incorrect''' : Blood glucose > 11 mmol/L (>200 mg/dL) is an indicator of severity at the time of admission and not at 48 hours. WBC 14000/mm3 '''Incorrect''' : White blood cell count > 16000/mcL is an indicator of severity at the time of admission and not at 48 hours. BUN : 45 mg/dl '''Correct''' : Increase in BUN by 1.8 or more mmol/L (5 or more mg/dL) after IV fluid hydration which meets this patients lab findings. Hematocrit : 35 '''Incorrect''' : Haematocrit fall > 10% is an indicator of severity but this patient dint have > 10% fall. Emergency Room A 40 yr old male comes to the emergency department with severe epigastric pain and vomiting. His past history is significant for similar episodes last year. He is a smoker and admits drinking heavily over the past 1 month. He denies any bloody vomit, dizziness and black stools. On examination pulse is 92/min and BP is 110/80 mmHg. Abdomen is tender with marked rigidity and decreased bowel sounds. Cardiovascular and respiratory examinations are normal. Initial lab investigations show hemoglobin and hematocrit of 12.3 g/dl and 36.5, respectively, Na:135 mEq/L, K : 3.6 mEq/L, Cl: 104mEq/L, Bi: 24 mEq/L, BUN: 40 mg/dl, glucose: 170 mg/dl and Ca: 10mg/dl and elevated amylase and lipase levels. The patient is treated with analgesics and IV fluids. After 48 hrs you assess the patient’s status. Which of the following lab values at this point would be ab indicator of severe prognosis in this patient? D Gastrointestinal 2020-10-28T00:51:09Z 2459150.5355208 WBR0523