UNIVERSITY OPHTHALMOLOGY CONSULTANTS
 

CASE OF THE MONTH

CASE #20

 
LABORATORY WORKUP
 TEST      RESULT      REFERENCE RANGE
...................................... BLOOD CHEMISTRY ......................................
Sodium     127      135-146 mmol/L
Potassium 3.6 3.5-5.3 mmol/L
Chloride 96 95-108 mmol/L
CO2 21 20-32 mmol/L
BUN 22 7-30 mg/dl
Creatinine 1.3  less than or equal to 1.2 mg/dL
Glucose (verified by fingerstick) 311  70-125 mg/dL
Albumin 2.8  3.5-5.0 g/dL
Alk Phos 107 20-125 U/L
Bilirubin (total) 0.3 less than or equal to 1.3 mg/dL
AST (SGOT) 23 less than or eual to 42 U/L
ALT (SGPT) 27 less than or equal to 48 U/L
Serum osmolality 294 278-305 mmol/kg H2O
Creatine kinase 24 less than or equal to 235 U/L
HDL 21  35-65 mg/dL
Lipase 22 7-60 U/L
LDL 79 less than 130 mg/dL
Cholesterol 140 less than 200 mg/dL
Triglycerides 200 less than 200 mg/dL
Serum acetone Negative <0.34 mmol/L
Glycosylated Hb 9.1 4%-7% total Hb
......................................... HEMATOLOGY .........................................
WBC     22      3.8-10.8 k/uL
Hb 12  13.8-17.2 g/dL
Hct 35  41%-50%
Plt 275 130-400 k/uL
MCV 96.2 78-102 fl
RDW 11.0 11.0%-15.0%
Neutrophils 76 %
Lymphocytes 13 20%-40%
Monocytes 8 0%-12%
Eosinophils 3 0%-5%
Basophils 0 0%-2%
4 bands    
PT* 12.4 10.7-13.7 s
PTT 28.1 21.5-34.5 s
*INR (International Normalized Ratio) 1.07  
.......................................... URINALYSIS ..........................................
Specific gravity     1.015     1.001-1.035
pH 6.0 4.6-8.0
Protein 30  Negative/Trace mg/dL
Glucose >1000  Negative mg/dL
Ketone 40  Negative mg/dL
Urine ketones 80 mg/dL
......................................................................................................
Chest X-ray     Normal      
Electrocardiogram Normal  

 

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