A 45-year-old man presents with vomiting and numbness on his fingers . He has CML and he is on chemotherapy. His blood biochemistry showed the following:
Na = 130 mmol/L
K = 6.8 mmol/L
Cl = 101 mmol/L
HCO3 = 14 mmol/L
Urea = 33.6 mmol/L
Creatinine = 283 umol/L
Calcium (Total) = 1.02 mmol/L
Phosphate = 4.6 mmol/L
Mg = 1.5 mmol/L
Albumin = 32 mmol/L
LDH = 986 IU/L
Uric acid = 2.1 mmol/L
Questions:
- What are the main abnormalities on these results?
- What is the most likely cause of these abnormalities?
- How will you manage this condition?