Lab Case 152

A 68 year old female is referred by her GP with abdominal distension, weakness and weight loss.

Her blood results:pH  7.52  (7.36-7.44)

pCO2  40 mmHg

HCO3  32 mmol/l

BE  9

Na  121 mmol/l

K  2.4 mmol/l

Cl  80 mmol/l

Urea  1.1 mmol

Creat  40 umol/l

Lactate  3.7 mmol/l

Glucose  4.2 mmol/l

Hb  98 g/l

MCHC  360  (320-360 g/l)

MCV  98  (82-99 fL)

MCH  35.5 pg
platelets  188

WCC  8.6

Bili  57 (<16 umol/l)

ALP  170 (30-110 U/L)

GGT  601  (<36 U/L)

ALT  77  (<36 U/L)

ALB  28 (36-48 g/L)

TP  55 (60-80 g/L)

Describe and interpret the blood results

Describe the FBC

Give a differential diagnosis