A 9 year old boy is referred in by his GP for further management of his blood results.

He has 3 days of a flu like illness with fever, leg pain, runny nose and cough. He is a healthy child without any other illness and fully immunised.

He looks well and has normal vital signs apart from a low grade temperature after some Paracetamol.His blood tests from the GP:

Hb       127

Plt       159

WCC   2.4

N         0.3

Na       141

K         4.0

Cl        105

HCO3  25

Urea    3.8

Creat   36

CK      14575

Describe his blood results

Interpret them and give a differential diagnosis

What would you do next