Question

QUESTIONS TO ANSWER:
1.Looking at Jane’s lab profile, it is indicative of what condition?
2.What are the two most common causes of this condition?
3.Which lab result is critical in the diagnosis of this disease?
4.Discuss the significance of the Hematology results?

Jane L) a 30-year-old woman, was seen in the ER with severe epigastric pain radiating to the back that woke her from sleep. She also complained of nausea and vomiting. The chemistry and hematology tests shown in Tables 2—8 and 2—9 were ordered.

Jane L. Reference Range

		Sodi um		140		135-145 mEq/L
		Potassium		3.6		3.6—5.0 mEq/L
		Chloride		106		98-107 mEq/L
		C02		29.0		24.0-34.0 mEq/L
		Glucose		116		80-120 mg/dl,
		Bilirubin, total		0.2		0.2—1.9 mg/dL
	AST ALP Protein				26 53 6.8		5-40 IU/L 30-157 IU/L 6.0-8.4 gidL
	2120				2121		Reference Range
BUN			13			7—24 mg/dL
Creatinine			1.2	1.2		0.5—1.2 mg/dL
Calcium			9.0	8.8		8.5—10.5 mg/dL
Albumin			4.2			3.5-5.0 g/dL
ALT			23	NT		5—40 IU/L
Amylase			738	265		10-110 IU/L
Lipase			3970*	320		31-186 IU/L
			335	NT		13-86 IU/L
Cholesterol			NT	165		Recommended (desirable): < 200 mg/dL
Triglyceride			NT	155		Recommended (desirable): < 250 mg/dL

	2120	2121	Reference Range
WBC RBC ESR	12.1 4.93 40	10.8 4.76	5-10 x 109/1. 4.0-5.0 x 0—20 mm/h

HDL 35 Recommended (desirable): 60 mg/dL LDL NT 99 Recommended (desirable): 130 mg/dL *Lipemic sample, results rechecked.

Abbreviations: ALT, alanine aminotransferase; ]GT, gamma glutamyltransferase; HDL, high-density lipoprotein; LDL, low-density lipoprotein; NT, not tested.

Table 2-9 " HEMATOLOGY

Abbreviations.' ESR, erythrocyte sedimentation rate; NT, not tested.