Lab Case 189

27 year old male presents to ED with a 3 day history of vomiting and epigastric pain.

. He has been previously admitted for pancreatitis which has been thought to be related to alcohol abuse. The patient reports no alcohol use over the last 6 months.


pH 7.51                                                Na 131mmol/l                         Corr Ca 3.19mmol/l

PCO2 51mmHg                                   K2.9mmol/l

HCO3 48mmo/l                                   Cl 78mmol/l

BE 20.4                                                Cr 292umol/l

Lactate 3mmol/l                                 Glucose 4.9mmol/l


  1. Describe and Interpret the VBG and electrolyte results
  2. What are the causes of pancreatitis?
  3. Describe the management of hypercalcaemia