SAQ 1572 – Unconscious patient with abnormal blood chemistry

A 26-year-old woman is found unconscious in bed. She has not been seen for 2 days. Her blood chemistry is provided below.

Test	Result	Reference range
Sodium	135 mmol/L	135-145
Potassium	4.5 mmol/L	3.5-4.2
Chloride	100 mmol/L	95-110
Bicarbonate	2 mmol/L	22-32
Urea	5.8 mmol/L	2.1-7.1
Creatinine	160 micromol/L	60-110
Total protein	50 g/L	60-80
Albumin	30 g/L	35-50
Globulin	20 g/L	25-45
Bilirubin	77 micromol/L	<20
ALP	143 IU/L	30-110
GGT	328 IU/L	<55
ALT	8050 IU/L	<45
AST	7560 IU/L	<35

For sodium, potassium, chloride, and bicarbonate, state the main abnormality, justify it, and give the likely cause.

(Marked out of 3.0)

/ 3

For urea and creatinine, state the main abnormality, justify it, and give the likely cause.

(Marked out of 3.0)

/ 3

For total protein, albumin, and globulin, state the main abnormality, justify it, and give the likely cause.

(Marked out of 3.0)

/ 3

For the liver function tests, state the main abnormality, justify it, and give the likely cause.

(Marked out of 3.0)

/ 3

List three further tests and state the utility of each.

(Marked out of 3.0)

/ 3

Total Score: 0 / 15

Percentage: 0%