Table 2.
Date | 3/8 | 3/09 | 3/10 | 3/11 | 3/12 | 3/13 | 3/14 | 3/15 | 3/16 | Normal range |
---|---|---|---|---|---|---|---|---|---|---|
Day | ER | 2nd | 3rd | 4th | *5th | 6th | 7th | 8th | 9th | |
CK (U/L) | 5058 | 23752 | 15263 | 20880 | 25000 | 9297 | 8940 | 6941 | 5707 | <150 U/L |
AST (U/L) | – | – | 466 | 576 | 535 | 390 | 282 | 239 | 228 | 0–35 U/L |
ALT (U/L) | – | – | 126 | 135 | 117 | 116 | 110 | 101 | 127 | 0–35 U/L |
Lactate (mmol/L) | – | 1.3 | 0.9 | – | – | 0.8 | 0.8 | – | – | 0.5–1 mmol/L |
BUN (mg/dL) | 14 | 12 | 8 | 6 | 5 | 5 | 7 | 9 | 8 | 8–20 mg/dL |
Cr (mg/dL) | 1.1 | 0.9 | 1 | 1 | 0.8 | 0.8 | 1 | 0.8 | 0.7 | 0.6–1.2 mg/dL |
K (meq/L) | 4.5 | 4.4 | 4.1 | 3.8 | 3.8 | 3.5 | 3.8 | 3.9 | 4.3 | 3.5–5 mEq/L |
WBC (109/L) | 20.8 | – | 15.3 | 21 | 19.7 | 21 | 18.74 | 19.12 | 18.15 | 4–11×109/L |
Hb (g/dL) | 16.1 | – | 5.5 | 7 | 7.5 | 10.2 | 10.1 | 10.1 | 10.1 | 14–18 g/dL |
Platelet (×109/L) | 263 | – | 132 | 168 | 194 | 235 | 317 | 358 | 450 | 150–450×109/L |
Patient care-taker provided list of supplements (Table 3). CK – creatinine kinase; AST – aspartate aminotransferase; ALT – alanine aminotransferase; BUN – blood urea nitrogen; Cr – serum creatinine; K – potassium; WBC – white blood cell; Hb – Hemoglobin. When CK levels start to rise again diagnosis of compartment syndrome is suspect.