Initial serum electrolytes:
Sodium 137 (133-143 mmol/L) (corrected Sodium 143) =
= Na + 1.6 (glc - 5.5) /5.5
- Potassium 5.6 (3.5-5.5 mmol/L)
- Chloride 98 (95-110 mmol/L)
- Bicarbonate 15 (22 -26 mmol/L)
- Total protein 92 (55-80 g/L)
- Urea 8.1 (1.0 - 6.0 mmol/L)
- Creatinine 75 (55-120 umol/L)
- Glucose 28.3 (2.5 - 5.5 mmol/L)
Urine full ward test:
- ketones +++
- glucose +++
- protein +
- blood negative
- Blood:
pH 7.25 (7.34 - 7.43)
- pCO2 22 (32 - 45 mmHg)
Haematological investigation results:
- Haemoglobin 160 (120-160G/L)
- WBC (total) 22.7 (4.5 - 13 x109/L)
- Platelets 559 (150-600 x 109/L)
- Neutrophils 15 (1.5 - 8 x 109/L)
- Lymphocytes 6.4 (1.0 - 6 x 109/L)
- Monocytes 0.9 (0.2 - 0.8 x 10 9/L)
- Eosinophils 0.5 (0.1 - 1.1 x 10 9/L)
- Haematocrit 55% (37%-48%)
- MCV 99.2 (78-95 fl)
- MCH 28.9 (25-35 pg)
- Liver function tests: normal.
- Abdominal ultrasound: normal.
- CXR: normal.
- AXR: normal.
- No urinary tract infection.
Patient notes (previous outpatient visit):
- HbA1c (DCA2000) 11.0%
(Ref range units 6.5% - 8.0%)
- Height
75th percentile over last 12 mths
- Weight
75th to 90th percentile until 3 mths ago - now 50th percentile