Specimen Name Result Units Range
Plasma Sodium 139 mmol/L (135-145)
Potassium 6.0 mmol/L (3.5-5.5)
Chloride 97 mmol/L (100-109)
Bicarbonate 31 mmol/L (22-32)
Anion Gap 17 mmol/L (7-17)
Glucose 4.7 mmol/L (3.8-5.5)
Urea 7.9 mmol/L (2.7-7.2)
Creatinine 120 μmol/L (60-110)
Osmolality 281 mmol/kg (275-295)
Urate 0.49 mmol/L (0.20-0.40)
Phosphate 1.85 mmol/L (0.80-1.45)
Total Calcium 2.65 mmol/L (2.10-2.55)
Albumin 43 g/L (34-48)
Globulins 45 g/L (22-35)
Total Bilirubin 6 μmol/L (6-24)
Conj. Bilirubin 2 μmol/L (1-4)
GGT 10 U/L (< 60)
ALP 77 U/L (30-110)
AST 27 U/L (< 45)
LDH 356 U/L (110-230)
Cholesterol 7.0 mmol/L (3.5-5.5)

67yo female D2 post chemo-Rx.
Tumour-Lysis Syndrome
  • High K+ & PO4
  • High LDH
  • 'Mild' example

DDx:

  • Delayed sample analysis
  • Tumour lysis
  • Rhabdomyolysis (but Ca++ usually low)