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Table 1 Showing blood Investigations at the time of arrival

From: Lentiform fork sign in a uremic patient with a high anion gap metabolic acidosis with seizures: a case report from North West of Ireland

Electrolytes

Result

Reference ranges

• Sodium

137 mmol/L

136–145 mmol/L

• Potassium

4.6 mmol/L

3.5–5.1 mmol/L

• Chloride

97 mmol/L

98–107 mmol/L

• Bicarbonate

9.2 mmol/L

22.0–29.0 mmol/L

• Blood glucose

8.5 mmol/L

3.9–7.1 mmol/L

• Serum acetone

Negative

–

Renal functions

  

• Blood urea

39 mmol/L

2.8–8.1 mmol/L

• Creatinine

657 umol/L

45–84 umol/L

• Glomerular filtration rate (GFR)

5 ml/min/1.73 sqm

> 90 ml/min/1.73 sqm

Arterial blood gases

  

• pH

7.04

7.35–7.45

• HCO3

9.2 mmol/L

22.0–29.0 mmol/L

• CO2

4.5 kPa

4.27–6.40 kPa

• O2

10.3 kPa

11.07–14.40 kPa

• O2 sats

91.6%

 

• Lactate

10.7 mmol/L

1.0–1.8 mmol/L

• Anion gap

30.8 mmol/L

12–15 mmol/L

Full blood count

  

• White cell count

12.4 10*9/L

4.0–11.0 10*9/L

• Heamoglobin

7.3 g/L

11.5–16.5 g/L

• Platelets

318,000 10*9/L

140–450 10*9/L

Liver function tests

  

• ALT

8 U/L

0–33 U/L

• AST

13 U/L

0–32 U/L

• Alk. phosp

143 U/L

35–105 IU/L

• GGT

23 U/L

< 40 U/L

• Total bilirubin

8 U/L

0–15 umol/L

• Total protein

62 U/L

66–87 g/L