Specimen Name Result Units Range
Plasma Sodium 129 mmol/L (135-145)
Potassium 7.5 mmol/L (3.5-5.5)
Chloride 99 mmol/L (100-109)
Bicarbonate 13 mmol/L (22-32)
Anion Gap 25 mmol/L (7-17)
Glucose 6.1 mmol/L (3.8-5.5)
Urea 72 mmol/L (2.7-7.2)
Creatinine 1,380 μmol/L (60-110)
Urate 0.45 mmol/L (0.20-0.40)
Phosphate 2.80 mmol/L (0.80-1.45)
Total Calcium 3.21 mmol/L (2.10-2.55)
Albumin 30 g/L (34-48)
Globulins 31 g/L (22-35)
Total Bilirubin 8 μmol/L (6-24)
Conj. Bilirubin 1 μmol/L (1-4)
GGT 9 U/L (< 60)
ALP 422 U/L (30-110)
AST 12 U/L (< 45)
LDH 120 U/L (110-230)
Cholesterol 4.7 mmol/L (3.5-5.5)

63yo female.
Chronic Renal Failure & Tertiary Hyperparathyroidism
  • Elevated creatinine, urea & osmolality.
  • Hyperkalaemia & metabolic acidosis.
  • 3°hyperparathyroidism → ↑ [PO4].[Ca++] ≈ 7.3
    → ectopic calcification ∝ product > 6.0
  • Hypercalcaemia usually → nephrogenic DI & ↑Na+
    → excess H2O