Table 2.
Investigations
| Parameters and normal values | Case 1 | Case 2 |
| Creatinine (<84, <104 μmol/L) | 233 | 85 |
| Urea (2.8–7.2 mmol/L) | 24.6 | 6.2 |
| Sodium (133–145 mmol/L) Sodium adjusted for hyperglycaemia |
126 143.1 |
138 144.5 |
| Potassium (3.3–5.1 mmol/L) | 6.2 | 4.2 |
| eGFR >90 mL/min/1.73 m2 | 20 | 82 |
| pH (7.35–7.45) | 6.99 | 7.27 |
| HCO3 (23–27 mmol/L) | 4.2 | 14.3 |
| Lactate (<1.4 mmol/L) | 5.7 | 1.9 |
| Glucose (4.6–6.4 mmol/L) | 65 | 28 |
| Ketones (<0.6 mmol/L) | 5.6 | 7.7 |
| Osmolality (285–295 mOsm/kg) |
350 | 318 |
| Anion gap (3–10 mEq/L) | 47.8 | 32.7 |
| HbA1c mmol/mol | 95.6 | 88 |
| CRP (<5 mg/L) | 10 | 3 |
| WCC (4–11×109/L) | 26 | 11.15 |
| Urine culture | No growth | No growth |
| Blood culture | No growth | No growth |
| CXR | No abnormality detected | No abnormality detected |
| Serial troponin <14 | 43/141/215/88 (over a 2-day period) | 17 |
CRP, C reactive protein; CXR, chest X-ray; eGFR, estimated glomerular filtration rate; HbA1c, haemoglobin A1c; WCC, white cell count.