Pulmonary Pathology - Case 8 - Part 1
   

Part 1

Part 2

Part 3

Part 4

Part 5

PM Index

Library

Olympus Web

RadWeb

Main Index

Reference Values

 

The patient is a 54 year old man who first noticed multiple "muscle cramps" in March 2003 and self-treated with aspirin, up to 15 tablets a day. His pain progressed in the lower back over the next two months and he began using crutches to walk. He went to a doctor for evaluation about two weeks ago, where an x-ray of the spine revealed lytic lesions.

Past medical history: CABG 11 years ago, Hypertension, Diabetes, GERD, BPH

1. What is your differential diagnosis?

2. What tests do you want?

Name

Result/Unit

 

Ref Interval

White Blood Cell Count

7.9 K/uL

 

3.1-10.1

Red Blood Cell Count

4.04 M/uL

L

4.32-5.84

Hemoglobin

12.1 g/dL

L

13.5-17.5

Hematocrit

35.6 %

L

41.2-52.4

Platelets

223 K/uL

 

140-440

Name

Result/Unit

 

Ref Interval

Alkaline Phosphatase

152 U/L

H

45-150

Potassium

3.8 mmol/L

 

3.3-5.0

Sodium

137 mmol/L

 

136-144

Glucose

126 mg/dL

 

64-128

Bilirubin, Total

1.2 mg/dL

 

0.2-1.3

Calcium

9.7 mg/dL

 

8.4-10.2

Albumin

3.3 g/dL

L

3.5-4.6

Total Protein

7.2 g/dL

 

6.3-8.2

CREATININE, SERUM - mg/dL

1.5 mg/dL

H

0.8-1.4

Chloride

103 mmol/L

 

98-107

AST/SGOT

48 U/L

 

15-59

Urea Nitrogen

26 mg/dL

H

7-20

Nuclear medicine Tc99 scan posterior 6-3-03
Nuclear medicine Tc99 scan anterior
Nuclear medicine Tc99 scan chest views
CXR 6-7-03 AP
CXR lateral

3. What is your assessment now?