Question

A 55-year-old man with heavy alcohol use presents with epigastric pain radiating to the back, worse when supine, associated with vomiting. Serum lipase is markedly elevated. According to severity assessment in acute pancreatitis, which factor is most concerning for severe disease?

Accepted Answer

Haematocrit 0.52

Answer

Age under 50 years

Answer

BMI 22 kg/m²

Answer

Serum calcium 2.30 mmol/L

Answer

CRP 10 mg/L at 48 hours

Practice question

A 55-year-old man with heavy alcohol use presents with epigastric pain radiating to the back, worse when supine, associated with vomiting. Serum lipase is markedly elevated. According to severity assessment in acute pancreatitis, which factor is most concerning for severe disease?