LAB VALUE HALL OF FAME
This page is for educational
purposes only; it is a testament to the miracle of human physiology and what
the body can endure
In response to a comment, it’s
probably important to note that the patient should recover from any laboratory abnormalities posted here. A “low” pH of 6.2 in a patient who
subsequently died really isn’t a miracle.
I’ll highlight the newer values
as well.
BLOOD WORK
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HPI |
LAB Values |
Comment |
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21 yo AAF
comes in with CP with any sort of exertion; pt looked pale; HR 90; BP 116/70 |
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Ferritin 1.7 Diagnosis pending, but just iron
deficiency anemia? Pt was actually
walking and talking |
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Lab |
Value |
Hospital |
Clinical Scenario |
Submitted by |
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HIGHEST |
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|
AST |
> 8,800 |
GMH 9/1/02 |
Sepsis C Multi-system Organ Failure |
Heng Rao |
|
HbA1c |
37.2
and 28.3 |
GMH
12/2002 |
Lab values for mother and
daughter admitted the same day with DKA at grady. |
Achraf Makki |
|
Na |
186 |
Grady
10/15 |
Repeat
chemistry was 183; admitted for pneumonia, AMS, and severe hypernatermia- pt lived! |
Lily
young |
|
INR |
13.5 |
Grady
12/14/05 |
56
yo F supratherapeutic on coumadin |
Anonymous |
|
Total
Bilirubin |
120! |
|
22yo
male admitted to grady with ESLD secondary to iron
overload from transfusions for sickle cell dz and
ETOH use |
|
|
BG |
1495 |
Grady
12/05 |
61
yo F comes in with AMS to GMH |
|
|
CRP |
375 |
CLH 2006 |
68 yo
woman with joint pain for months. Dx: amyloid bone disease. |
Matt Hoffman |
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BUN |
>279 |
GMH 8/12/01 |
ESRD |
HENG RAO |
|
Ca |
23.6 |
GMH 11/1/00 |
Multiple Myeloma |
Carmen Klass |
|
CPK |
>25,300 |
GMH 9/6/02 |
Rhabdo after altercation with police |
Heng Rao |
|
Creatinine |
32.8 |
GMH 7/3/02 |
ARF sec to Cephalosporins/NSAIDS |
Mark Bieniarz |
|
Glucose |
2228 |
GMH 5/30/02 |
AMS/new diagnosis DM w DKA |
Natasha Chen |
|
HgbA1C |
20.4 |
GMH 8/11/02 |
DM2 admitted with hypoglycemia |
Jason Schneider |
|
Lactic Acid |
19.3 |
GMH 9/2/02 |
Sepsis w/
multi-system organ failure |
Heng Rao |
|
LHD |
>3,500 |
GMH 9/1/02 |
Sepsis w/ multi-system organ failure |
Heng Rao |
|
Na |
179 |
GMH 12/31/01 |
94 yo w/
dehydration and sepsis |
Cassandra Gibbs |
|
Protein |
19.2 |
GMH 8/10/02 |
Multiple myeloma
with hyperviscosity |
Melissa Osborn |
|
PTH |
3138 |
GMH 9/4/02 |
ESRD w/ secondary hyperparathyroidism |
Natasha Chen |
|
PSA |
2472 |
EUH 9/8/02 |
Prostate CA w/ mets
to brain and majority of bones |
Sujatha Murali |
|
Triglycerides |
>18,000 |
VAMC 11/25/02 |
ETOH-induced pancreatitis |
Lado Chachanidze |
|
LOWEST |
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|
Hct |
3.4% |
EUH 9/1/02 |
Aplastic anemia, noncompliant with
cyclosporine and IVIG |
Carmen Klass |
|
Hgb |
1.2 |
EUH 9/1/02 |
“” |
“” |