Clinical Case 1 - Page 2
Case 1 - Courtesy of A. Antonczyk
A blood sample was taken from Shakespeare. The results are shown below:
Biochemistry
Total Protein 68 g/L (54.0 - 80.0) Albumin 33 g/L (25.0 - 42.0) Globulin 35 g/L (25.0 - 45.0) A:G ratio 0.9 (0.6 - 1.5) Sodium 157 mmol/L (125.0 - 160.0) Potassium 4.7 mmol/L (3.6 - 6.0) Total Calcium 2.38 mmol/L (2.0 - 3.0) Urea 10.9 mmol/L (4.0 - 12.0) Creatinine 100 umol/L (80 - 180) ALP 162 U/L (0.1 - 60.0) HIGH ALT 521 U/L (5.0 - 60.0) HIGH Total bilirubin 5.8 umol/L (0.1 - 10.0) Glucose 4.7 mmol/L (3.5 - 6.6)
Haematology
RBC 9.22 x10^12/L (5.5 - 10.0) Hb 13.3 g/dL (9.0 - 17.0) HCT 45.2 % (27.0 - 50.0) MCV 49.0 fl (40.0 - 55.0) MCH 14.5 pg (13.0 - 21.0) MCHC 29.5 g/dL (29.0 - 36.5) Plt 797 x10^9/L (170 - 650) HIGH WBCs 12.10 x10^9/L (4.0 - 15.0) Neutrophils 7.99 x10^9/L 66% (2.5 - 12.5) Lymphocytes 2.30 x10^9/L 19% (1.2 - 7.0) Monocytes 0.12 x10^9/L 1% (0.0 - 0.8) Eosinophils 1.57 x10^9/L 13% (0.0 - 1.5) HIGH Basophils 0.12 x10^9/L 1% (0.0 - 0.2)
Endocrinology
Total T4 304.1 nmol/L (15.0-50.0) HIGH