For the start of the case see below… or click https://teamhaem.wordpress.com/2014/01/26/case-19-the-beginning/

The patient has been started on first line antibiotics (piparacillin/tazobactam and gentamycin in this hospital) and is stable.  The biochemistry results return:

• Na 134mmol/L
• K 4.7mmol/L
• Cr 75umol/L
• Urea 7.3mmol/L
• Bilirubin 52mmol/L
• ALT 37
• ALP 79
• Albumin 29
• LDH 602

Questions:

• What do you make of these results?
• What would you like to do next?

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion