How do you interpret levels of glucose, BUN and albumin and what do they tell you about this presentation? How do you interpret the increases in ALT, AST and LDH and what is the most likely cause of this?
Ella is an attorney who has worked in private practice for 25 years. She estimates she works 70 hours/week between the office and the courtroom. She has attributed her persistent fatigue to her schedule, poor diet (“I usually eat on the run, whatever is available”) and alcohol consumption (“I drink a bottle of wine a couple nights a week, and maybe more at the weekend especially if there are lots of dinners with clients”). Her fatigue has recently worsened and she has been feeling nauseous and light-headed consistently over the last several days.
|
Parameter |
Result |
Normal |
|
Glucose |
87 |
70-99 mg/dL |
|
BUN |
12 |
7-22 mg/dL |
|
Creatinine |
0.71 |
0.5-1.2 mg/dL |
|
Na |
141 |
135-145 mmol/L |
|
K |
4.9 |
3.5-5.3 mmol/L |
|
Cl |
103 |
98-109 mmol/L |
|
CO2 |
24 |
22-26 mmol/L |
|
Calcium |
9.2 |
8.6-10.2 mg/dL |
|
Phosphorus |
2.7 |
2.6-4.9 mg/dL |
|
Albumin |
3.0 |
3.2-4.6 g/dL |
|
Bilirubin |
2.2 |
0.2-1.2 mg/dL |
|
Lactate dehydrogenase (LDH) |
190 |
99-191 IU/L |
|
Aspartate amino-transferase (AST) |
260 |
12-45 IU/L |
|
Alanine aminotransferase (ALT) |
76 |
<34 IU/L |
|
Alkaline Phosphatase |
112 |
37-107 IU/L |
-
How do you interpret levels of glucose, BUN and albumin and what do they tell you about this presentation?
-
How do you interpret the increases in ALT, AST and LDH and what is the most likely cause of this?
Trending now
This is a popular solution!
Step by step
Solved in 3 steps
