Specimen Name Result Units Range
Plasma Sodium 142 mmol/L (135-145)
Potassium 4.3 mmol/L (3.5-5.5)
Chloride 102 mmol/L (100-109)
Bicarbonate 35 mmol/L (22-32)
Anion Gap 9 mmol/L (7-17)
Glucose 3.9 mmol/L (3.8-5.5)
Urea 6.2 mmol/L (2.7-7.2)
Creatinine 111 μmol/L (60-110)
Blood Hb 234 g/L (130-180)
     R.B.C. 6.8 x1012/L (4.5-6.0)
     P.C.V. 0.68 L/L (0.4-0.5)
     M.C.V. 100 fL (80-98)
     M.C.H.C. 343 g/L (315-355)
     R.D.W. 15.6 % (11.5-15.5)
Platelets 99 x109/L (150-450)
WCC 5.6 x109/L (4.0-11.0)

33yo male with low SpO2, cyanosis & clubbing.
Chronic Hypoxaemia / Polycythaemia / Eisenmenger's syndrome
  • VSD from childhood
  • Chronic pulmonary hypertension with flow reversal & R→L shunt
  • Alkalosis likely 2° Rx for CCF
  • [ECHO report]

 

Signs, symptoms & complications:

  • Cyanosis
  • Polycythemia (↑RBC count)
  • Clubbing
  • Syncope
  • CCF
  • Arrythmias
  • Haemoptysis
  • Fe deficiency
  • Infections - endocarditis, pneumonia
  • Embolic - CVA, renal
  • AKI
  • Gout
  • Gallstones