Chagas disease is an infectious disease caused by Trypanosoma cruzy, this is a highly frequent disease in rural areas of Latin America, it is characterized by presenting two phases, an acute one which is often asymptomatic and with low mortality which is mostly conferred to acute myocarditis due to Chagas, and a chronic phase which consists of three presentations, one indeterminate, one digestive and one cardiac, the latter being the most serious and the cause of greater complications and higher mortality in patients that occur with this, it should be noted that the alterations presented at the cardiac level that affect the heart in its structural, autonomic, functional and electrical conduction aspects, which require specialized treatment and diagnostic aids to determine characteristic myocardial involvement, degree of involvement and patient prognosis due to Chagas disease.
Acute pancreatitis is one of the high-mortality gastrointestinal disorders that requires hospitalization, in this pathology there are various degrees of severity, and it is important to define and stratify them to identify dangerous patients who require aggressive treatment on admission, to identify patients worthy of referral for specialized care and to assign these patients to stratification into subgroups with persistent organ failure and local or systemic complications, the use of scales and criteria is implemented to determine the degree of severity of this and the possible management, among them we find the Ranson criteria, which contribute to the determination of severity, conduct to follow and possible complications, which is usually very useful for the patient's prognosis, but although it is true, the Ranson criteria are simple, easy to remember and very available in any laboratory to carry out ar tests, but they are also limited since they present greater specificity after the first 48 hours of the patient's admission and, in addition, they can be inconclusive because they vary according to the presence or not of a biliary pathology, thus increasing the parameters to be evaluated.
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