Here's
an interesting case - look at the potassium and creatinine.
- CARTMAN, ERIC 08/08/2014 15:55MR 22/05/1945 69 yrs M 667269 Northgate M/P CanterburyU NORCSpecimen No : AC660246W Selected Auth Level : S--------------------T-------------------T-------------------T-------------------NA 134 S000 |ALT 35 S000 | |K 8.2 S000 |CA 2.6 S000 | |KBIC 14 S008 |$CORCA 2.6 S000 | |CR 243 S000 |CRP 1 S000 | |_GFR 23 S000 |HINT ^0.1 S000 | |PROT 82 S000 |IINT ^16 S000 | |ALB 38 S000 |LINT ^0.1 S000 | |GLOB 44 S000 | | |TBIL 18 S000 | | |ALKP 73 S000 | | |--------------------T-------------------T-------------------
High
potassiums are always suspect; were samples taken in the wrong order
leading to EDTA contamination? In this case probably not - look at
the (if anything) raised calcium. Creatinine is seriously up; GFR
down. Renal failure?
Historically
there has been raised creatinine.
- CARTMAN, ERIC 08/08/2014 15:55MR 22/05/1945 69 yrs M 667269 Northgate M/P------T-----------------------------------------------------------------------]Date|07/07/2014 07/07/2014 07/07/2014 17/06/2014 15/06/2014 13/06/2014 |Time|u/k 19:50 15:55 08:45 u/k 11:00 |Spec|AC660200Q AC660186R AC660246W AC642143X AC640438G AC638999V ||BIO BIO BIO BIO BIO BIO |Test--+-----------------------------------------------------------------------{NA |131 H 134 139 137 139 |K |7.9 H 8.2 4.4 3.8 4.0 |KBIC |7 H 14 |CR |235 H 243 132 127 114 |_GFR |24 H 23 47 49 56 |PROT | H 82 79 80 |ALB |36 H 38 35 37 |GLOB | H 44 44 43 |TBIL | H 18 15 21 |ALKP |70 H 73 75 81 |ALT | H 35 16 14 |CA |2.6 H 2.6 |------T-----------------------------------------------------------------------]
Results were phoned;
patient admitted, repeat samples sent. The patient *was* in renal
failure
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