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14 Apr 2018

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.

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Lelia Lubowitz
Lelia LubowitzLv2
17 Apr 2018

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