Specimen Name Result Units Range
Plasma Sodium 132 mmol/L (135-145)
Potassium 3.2 mmol/L (3.5-5.5)
Chloride 97 mmol/L (100-109)
Bicarbonate 25 mmol/L (22-32)
Anion Gap 13 mmol/L (7-17)
Glucose 5.6 mmol/L (3.8-5.5)
Urea 6.0 mmol/L (2.7-7.2)
Creatinine 110 μmol/L (60-110)
Phosphate 0.50 mmol/L (0.80-1.45)
Total Calcium 1.94 mmol/L (2.10-2.55)
Albumin 39 g/L (34-48)
ALP 180 U/L (30-110)

79yo female with back pain ∝ vertebral crush#.
Vitamin D Deficiency
  • high ALP
  • low Ca++
  • low PO4

 

Aetiology:

  • dietary deficiency
  • malabsorption
    • pancreatic insufficiency
    • post-gastrectomy
    • malabsorption syndromes
  • drugs - phenytoin
  • renal - defective 1-hydroxylation
  • vit-D-dependent rickets
    • type 1 - autosomal recessive, defective 1-hydroxylation
    • type 2 - defective response to 1,25-OH2-D3