Specimen Name Result Units Range

Plasma Sodium 131 mmol/L (135-145)
Potassium 7.7 mmol/L (3.5-5.5)
Chloride 100 mmol/L (100-109)
Bicarbonate 23 mmol/L (22-32)
Anion Gap 16 mmol/L (7-17)
Glucose 4.5 mmol/L (3.8-5.5)
Urea 49 mmol/L (2.7-7.2)
Creatinine 740 μmol/L (60-110)
Osmolality 310 mmol/kg (275-295)
Urate 0.35 mmol/L (0.20-0.40)
Phosphate 1.68 mmol/L (0.80-1.45)
Total Calcium 2.60 mmol/L (2.10-2.55)
Albumin 33 g/L (34-48)
Globulins 54 g/L (22-35)
Total Bilirubin 6 μmol/L (6-24)
Conj. Bilirubin 2 μmol/L (1-4)
GGT 11 U/L (< 60)
ALP 194 U/L (30-110)
AST 24 U/L (< 45)
LDH 223 U/L (110-230)
Cholesterol 4.6 mmol/L (3.5-5.5)

67yo female.


Chronic Renal Failure
  • Elevated creatinine, urea & osmolality.
  • Elevated PO4 and Ca++
  • Marked hyperkalaemia

 

Note:

  1. Why the hyperglobulinaemia?
    • ? autoimmune nephritis
    • ? multiple myeloma
  2. Why the hypercalcaemia?
    • ? tertiary hyperparathyroidism
    • ? multiple myeloma
    • ? stasis sample