Specimen Name Result Units Range
Plasma Sodium 126 mmol/L (135-145)
Potassium 3.7 mmol/L (3.5-5.5)
Chloride 65 mmol/L (100-109)
Bicarbonate 6 mmol/L (22-32)
Anion Gap 59 mmol/L (7-17)
Glucose 6.0 mmol/L (3.8-5.5)
Urea 21.0 mmol/L (2.7-7.2)
Creatinine 842 μmol/L (60-110)
Urate 1.47 mmol/L (0.20-0.40)
Phosphate 5.48 mmol/L (0.80-1.45)
Total Calcium 2.64 mmol/L (2.10-2.55)
Ionized Calcium 1.10 mmol/L (1.07-1.27)
Albumin 51 g/L (34-48)
Globulins 49 g/L (22-35)
Total Protein 100 g/L (60-80)
Total Bilirubin 24 μmol/L (6-24)
GGT 88 U/L (< 60)
ALP 84 U/L (30-110)
ALT 46 U/L (< 55)
AST 140 U/L (< 45)
LDH 659 U/L (110-230)
CK 9,140 U/L (< 200)

29yo male admitted with depressed LOC / obtundation.

Heatwave Jan2009: TAmb. > 40°C
Dehydration / Rhabdomyolysis
  • dehydration / hypovolaemia:
    • → ↑albumin/protein, urea/creat
    • acute renal failure / AKI
    • hyponatraemia ∝ replacement with H2O
  • rhabdomyolysis/cell lysis : ↑CK, PO4, LDH
  • metabolic acidosis : raised AG ∝ [lactate] ≈ 14 mmol/L + rhabdo + sepsis
  • blood culture positive : H.influenzae (S)