A 67 year old man is brought to your Emergency Department by ambulance. He is 7 days post right total knee replacement, complaining of feeling generally unwell and a painful right knee. He has had a previous cholecystectomy.
Vitals:
BP 120/60, PR 140-160/min irregular
Temp 40 RR 20/min, O2 sats 90% RA
On examination:
Jaundice
Chest clear
Abdomen soft and non tender
Describe and interpret the following bloods:
Hb 116 (135-180) CRP 190 (<10)
WCC 9.3 (4-11) INR 1.1(0.9-1.3)
Platelet 377 (150-400) Lactate 2.2 (<1.5)
Neutrophils 8.60 (4-6)
Total protein 76 (60-80)
Albumin 43 (35-50)
Bilirubin 206 (<20)
ALT 381 (<40)
Alk Phos 542 (<135)
GGT 2590 (<60)
Lipase 99 (20-210)