Gastrointestinal Pathology - Case 4 - Part 1
   

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GI Index

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Reference Values

 

The patient is a 59-year-old male who was found collapsed and covered with melena. Upon arrival to the Emergency Room, the patient had a blood pressure of 70 systolic and mental status changes. The patient was transferred to the Medical Intensive Care Unit (MICU) with profound metabolic acidosis on 5/29/03.

FiO2

60 %

 

 

pH

7.06

LL

7.35-7.45

PaCO2

32.4 mmHg

L

35-39

PaO2

148 mmHg

H

61-82

 

WHITE BLOOD CELL COUNT

40.39 K/uL

H

3.20-10.60

RED BLOOD CELL COUNT

2.84 M/uL

L

4.69-6.07

HEMOGLOBIN

9.6 g/dL

L

14.6-17.8

HEMATOCRIT

28.7 %

L

40.8-51.9

MEAN CORPUSCULAR VOLUME

101.3 fL

H

77.8-94.0

MEAN CORPUSCULAR HEMOGLOBIN

33.8 pg

H

26.5-32.6

MEAN CORPUSCULAR HGB CONC

33.3 g/dL

 

32.7-36.9

RED CELL DISTRIBUTION WIDTH

18.7 %

H

10.8-14.1

PLATELETS

205 K/uL

 

177-406

MEAN PLATELET VOLUME

9.9 fL

H

5.9-9.8

 

PROTHROMBIN TIME

26.2 sec

H

12.0-15.5

PARTIAL THROMBOPLASTIN TIME

37 sec

26-37

LIPASE, SERUM or PLASMA

886 U/L

H

30-190

AMYLASE, SERUM - U/L

68 U/L

30-110

 

POTASSIUM

5.6 mmol/L

H

3.3-5.0

SODIUM

139 mmol/L

 

136-144

GLUCOSE

311 mg/dL

H

64-128

BILIRUBIN, TOTAL

1.6 mg/dL

H

0.2-1.3

CALCIUM, SERUM OR PLASMA

7.3 mg/dL

L

8.4-10.2

ALBUMIN

1.6 g/dL

L

3.5-4.6

TOTAL PROTEIN

4.3 g/dL

L

6.3-8.2

CREATININE, SERUM - mg/dL

3.4 mg/dL

H

0.8-1.5

CHLORIDE

113 mmol/L

H

98-107

ASPARTATE AMINOTRANSFERASE

134 U/L

H

15-59

UREA NITROGEN

144 mg/dL

H

9-22

CARBON DIOXIDE

12 mmol/L

L

22-29

ANION GAP

15 mmol/L

H

8-14

ALANINE AMINOTRANSFERASE

115 U/L

H

13-72

 

1. What is your differential diagnosis?