Table 1. Relevant laboratory results upon admission to the ED.
The elevated glucose suggests hyperglycemia, while the increased WBC count indicates an inflammatory response. RBC count, hemoglobin, and hematocrit are all decreased, suggesting severe blood loss. Electrolyte imbalances are seen through elevated chloride and decreased CO2, indicating metabolic acidosis. Renal function is impaired as seen by the elevated creatinine and reduced eGFR. The low albumin indicates hypoalbuminemia from protein loss. The critically high creatine kinase and lactic acid levels indicate muscle damage and severe lactic acidosis, respectively. Urinalysis showing hematuria with hyaline casts suggests significant renal compromise.
*An abnormally low result.
**An abnormally high result.
U/L, units per liter; hpf, high-power field; lpf, low-power field
| Test | Result |
| Glucose | 176 mg/dL** |
| ABO/RH type | O+ |
| WBC | 13.3 billions/L** |
| RBC | 4.04 trillion/L* |
| Hemoglobin | 11.4 g/dL* |
| Hematocrit | 36.4%* |
| Sodium | 140 mmol/L |
| Potassium | 4.5 mmol/L |
| Chloride | 112 mmol/L** |
| CO2 | 17 mmol/L* |
| Anion gap | 11 |
| BUN | 16 mg/dL |
| Creatinine | 1.72 mg/dL** |
| eGFR | 52 mL/minute/1.73 m2* |
| PT | 13.3 s |
| aPTT | 25.0 s |
| INR | 1.2 |
| Albumin | 3.2 mg/dL* |
| CK | 3,074 U/L** |
| Lactic acid | 9.2 mmol/L** |
| Urinalysis color | Yellow |
| Urinalysis clarity | Cloudy |
| Urinalysis glucose | Negative |
| Urinalysis bilirubin | Negative |
| Urinalysis ketones | Negative |
| Urinalysis specific gravity | 1.027 |
| Urinalysis blood | 2+** |
| Urinalysis pH | 6.0 |
| Urinalysis protein | 30 mg/dL |
| Urinalysis urobilinogen | 1.0 mg/dL |
| Urinalysis nitrites | Negative |
| Urinalysis leukocyte esterase | Negative |
| Urinalysis RBC | >20/hpf** |
| Urinalysis WBC | 0-5/hpf |
| Urinalysis casts, hyaline | 3-5/lpf** |
| Urinalysis bacteria | Negative |