Gastrointestinal Pathology - Case 7 - Part 1
   

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GI Index

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Reference Values

 

The patient is a 54-year-old Caucasian male who was admitted on October 28, 2003. At noon on the day of admission the patient had emesis of "coffee-ground" material and melena. He called for help and was brought to the Emergency Room where a nasogastric lavage revealed coffee-ground material and further exam revealed a guaiac positive tarry stool. Laboratory studies were obtained.

WHITE BLOOD CELL COUNT

2.10 K/uL

L

3.20-10.60

HEMOGLOBIN

9.7 g/dL

L

14.6-17.8

HEMATOCRIT

29.4 %

L

40.8-51.9

PLATELETS

357 K/uL

 

177-406

POLYMORPHONUCLEAR

30 %

L

44-76

BAND

55 %

H

0-5

 

AMYLASE, SERUM - U/L

< 30 U/L

 

30-110

LIPASE, SERUM or PLASMA

11 U/L

L

30-190

 

ALBUMIN

2.9 g/dL

L

3.5-4.6

TOTAL PROTEIN

5.8 g/dL

L

6.3-8.2

ASPARTATE AMINOTRANSFERASE

50 U/L

 

15-59

ALANINE AMINOTRANSFERASE

34 U/L

 

13-72

ALKALINE PHOSPHATASE

146 U/L

H

38-126

POTASSIUM

3.5 mmol/L

 

3.3-5.0

SODIUM

133 mmol/L

L

136-144

 

1. What is your differential diagnosis?