Previous hospital admissions for pancreatitis presents

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A 58-year-old man with a past medical history of alcoholism and previous hospital admissions for pancreatitis presents to the emergency room with severe diffuse abdominal pain that radiates to his back, nausea, and vomiting. On exam, he has tachycardia and a blood pressure of 110/60 mm Hg. He appears dehydrated and is tender all over his abdomen with maximal point tenderness in the epigastric region. Labs are as follows: lactate of 2.4 mmol/L, white blood cell count of 20,000/uL, glucose of 210 mg/dL, alanine transaminase (ALT) of 180 units/L, aspartate transaminase (AST) of 260 units/L, and lactate dehydrogenase of 380 units/L. What is this patient's initial Ranson score on admission?

Reference no: EM133804959

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