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The patient was sent to the
emergency room from the angio suite for stabilization after she was found
to have complete occlusion of both renal arteries and attempted recanalization
of the renal stent failed. In the ER she developed a sudden increase in
oxygen requirement and decreased mental status. An initial work up was performed.
Name |
Result/Unit |
|
Ref Interval |
WHITE BLOOD CELL COUNT |
23.06 K/uL |
H |
3.20-10.60 |
RED BLOOD CELL COUNT |
3.22 M/uL |
L |
3.88-5.46 |
HEMOGLOBIN |
9.5 g/dL |
L |
12.1-15.9 |
HEMATOCRIT |
28.0 % |
L |
34.3-46.6 |
MEAN CORPUSCULAR VOLUME |
86.9 fL |
|
77.8-94.0 |
MEAN CORPUSCULAR HEMOGLOBIN |
29.5 pg |
|
26.5-32.6 |
MEAN CORPUSCULAR HGB CONC |
34.0 g/dL |
|
32.7-36.9 |
RED CELL DISTRIBUTION WIDTH |
16.2 % |
H |
10.8-14.1 |
PLATELETS |
505 K/uL |
H |
177-406 |
MEAN PLATELET VOLUME |
8.7 fL |
|
5.9-9.8 |
GRANULOCYTES % |
90.8 % |
H |
44.0-76.0 |
MONOCYTE % |
1.7 % |
L |
2.0-7.5 |
EOSINOPHIL % |
0.7 % |
|
0.0-6.0 |
AUTOMATED BASOPHIL % |
0.3 % |
|
0.0-1.7 |
GRANULOCYTE # |
20.9 K/uL |
H |
1.3-7.0 |
MONOCYTE # |
.4 K/uL |
|
.1-.5 |
AUTOMATED ABS EOSINOPHIL COUNT |
0.2 K/uL |
|
0.0-0.4 |
BASOPHIL # |
0.1 K/uL |
|
0.0-0.1 |
LYMPH # |
1.5 K/uL |
|
.8-3.1 |
LYMPHOCYTE % |
6.5 % |
L |
14.7-42.6 |
Name |
Result/Unit |
|
Ref Interval |
TROPONIN I |
0.9 ng/mL |
H |
0.0-0.4 |
ABG |
Result/Unit |
|
Ref Interval |
FiO2 |
15 L |
|
|
pH |
7.457 |
H |
7.35-7.45 |
PaCO2 |
38.2 mmHg |
|
35-39 |
PaO2 |
32.8 mmHg |
LL |
61-82 |
COHb |
1.3 % |
|
0.1-2 |
MethHb |
1.3 % |
|
0.1-2 |
tHb |
8.6 gm% |
L |
13-19 |
O2 Content |
7.8 vol% |
L |
17-24 |
Pb |
644 mmHg |
|
|
Na+ |
142 mmol/L |
|
136-144 |
K+ |
4.5 mmol/L |
|
3.3-5 |
Ca++ |
1.28 mmol/L |
|
1.11-1.3 |
HCO3 |
26.6 mEq/L |
H |
19-25 |
BE |
3 mEq/L |
H |
-2.5-2.5 |
O2Hb |
65.1 % |
L |
92-99 |
Hct |
26.6 g/dL |
|
|
Glucose |
105 mg/dL |
|
65-110 |
Lactate |
0.9 mmol/L |
|
0.7-2.1 |
Temp |
37 C |
|
|
Allen`s Test |
+ |
|
|
.jpg) |
EKG 1-11-03 |
.jpg) |
CXR 1-11-03 |
1. Review the labs on admission. What is her PaO2?
2. Review the EKG. Do you see any abnormalities?
3. Review her Chest X-ray on admission. Is the heart size normal? How
do the lungs look?
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