A 58 year old man on treatment for T cell Lymphoma presents to your ED feeling unwell for the past 3 days. On examination he is tachycardic, tachypnoeic and hypotensive.
His blood results:
Hb 105 (115-135) Na 132 (137-145 mmol/l)
WCC 427.72 (4-11) K 8.9 (3.3-5 mmol/l)
Platelets 8 (140-400) HCO3 23
RCC 3.29 Urea 6.1 (3-8)
Hct 0.33 Creatinine 122 (<130)
MCV 100 Bilirubin 18 (<21)
MCH 31.9 ALT 28 (35-110)
MCHC 318 ALP 216 ( <56)
Neutrophil 2.14 (3-7) GGT 156 (<41)
Lymphocytes 423.45 Albumin 37 (38-50)
Monocytes 2.14 Total Protein 57 (65-85)
Eosinophils 0 Ca 2.01 (2.20-2.55)
CRP 2.9 PO4 1.07 (0.8-1.5)
INR 1.3 Mg 0.84 ( 0.7 -1.4)
Fibrinogen 1.7 LDH 1510 (140-280)
Uric acid 0.48 (0.18-0.44)
Questions
1. Describe the abnormalities
2. Interpret your findings
3. What causes these abnormalities?
4. What are your treatment priorities?
5. What conditions are commonly associated with this?