A 72-year-old woman presents with 2 days of abdominal pain and fever. Her blood results are shown below.
| Test |
Result |
Reference range |
| Na |
125 mmol/L |
135-145 |
| K |
4.4 mmol/L |
3.5-5.0 |
| Cl |
89 mmol/L |
95-110 |
| HCO3 |
14 mmol/L |
22-32 |
| Glucose |
7.5 mmol/L |
3.5-8.0 |
| Urea |
23.7 mmol/L |
3.0-8.0 |
| Creatinine |
219 micromol/L |
60-110 |
| Protein |
65 g/L |
60-80 |
| Albumin |
22 g/L |
35-45 |
| Bilirubin |
255 micromol/L |
1-20 |
| Conjugated bilirubin |
198 micromol/L |
<4 |
| ALP |
867 IU/L |
30-120 |
| GGT |
412 IU/L |
0-60 |
| ALT |
178 IU/L |
0-45 |
| AST |
153 IU/L |
4-45 |
| CK |
55 IU/L |
0-170 |
List the abnormalities and the most likely explanation for each.
(Marked out of 7.0)
/ 7
Give your overall clinical interpretation.
(Marked out of 3.0)
/ 3
Total Score: 0 / 10
Percentage: 0%
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