Specimen Name Result Units Range
Plasma Sodium 133 mmol/L (135-145)
Potassium 3.3 mmol/L (3.5-5.5)
Chloride 91 mmol/L (100-109)
Bicarbonate 33 mmol/L (22-32)
Anion Gap 12 mmol/L (7-17)
Glucose 7.3 mmol/L (3.8-5.5)
Urea 5.4 mmol/L (2.7-7.2)
Creatinine 150 μmol/L (60-110)
Phosphate 1.00 mmol/L (0.80-1.45)
Total Calcium 2.03 mmol/L (2.10-2.55)
Albumin 42 g/L (34-48)
Globulins 29 g/L (22-35)
Total Bilirubin 6 μmol/L (6-24)
GGT 14 U/L (< 60)
ALP 1,100 U/L (30-110)
AST 10 U/L (< 45)
LDH 120 U/L (110-230)
Cholesterol 4.2 mmol/L (3.5-5.5)

61 male with back pain
Isolated ALP Rise - Paget's Disease
  • ALP ∝ bone, hepatobiliary, gut, lung, placenta
  • normal LFTs → hepatobiliary cause unlikely
  • bone secondaries can also result in isolated ALP rise
    → prostate, breast, lung, thyroid, kidney
  • multiple myeloma doesn't usually result in isolated ALP rise
    → gammopathy & ↑Ca++