Name___________________________________
Whichizit
MLS-2213
You and Jayson Clarke have been performing Basic Metabolic Panels (BMPs) and other selected tests on several patients. You have been performing all of the analytical work, but Jayson has been setting up the specimens on the analyzer for you and programming all of the patient’s tests. Unfortunately, Jayson has completely failed to program the patients’ names and accession numbers for the tests!
Shortly after you finished showing Jayson how to polish the inside of the -70o C Freezer, you came back and you are now looking at the chemistry analyzer’s printouts. Although you cannot legally report any of the patients’ values, you thought it would be fun to try to figure out to whom each Basic Metabolic Panel belongs. Here are the patients and their current diagnoses:
Chin Yong Diabetes Mellitus, Type 1 (unstable, ketoacidosis)
Amanda Willis Diabetes Mellitus, Type 2
Younger Keneval Motorcycle Accident, Trauma 1
Luigi Tafori Advanced Addison’s Disease
Lulu Sharpelli Advanced Anorexia Nervosa (with Bulemia)
Thomas Rex Advanced Conn’s Disease
Asif Al Syedif Acute Renal Failure Joseph Lonetree Cushing’s Disease
Kjordi Kjeldgdatter Acute Salicylate Poisoning
Match each of these patients with their most probable chemistry panel results, and explain exactly why the results match that patient more closely than any of the others:
Panel 1 Sodium 126 mMol/L Here’s who it is, and here’s why:
Potassium 6.1 mMol/L
Chloride 80 mMol/L
Bicarbonate 12 mMol/L
Glucose 443 mg/dL
BUN 14 mg/dL
Creatinine 0.8 mg/dL
Calcium 10.0 mg/dL
Lactate 1.5 mMol/L
Panel 2 Sodium 144 mMol/L Here’s who it is, and here’s why:
Potassium 6.0 mMol/L
Chloride 93 mMol/L
Bicarbonate 15 mMol/L
Glucose 93 mg/dL
BUN 63 mg/dL
Creatinine 1.9 mg/dL
Calcium 8.6 mg/dL
Lactate 8.5 mMol/L
Panel 3 Sodium 129 mMol/L Here’s who it is, and here’s why:
Potassium 5.9 mMol/L
Chloride 90 mMol/L
Bicarbonate 26 mMol/L
Glucose 63 mg/dL
BUN 14 mg/dL
Creatinine 0.8 mg/dL
Calcium 9.6 mg/dL
Lactate 0.8 mMol/L
Panel 4 Sodium 136 mMol/L Here’s who it is, and here’s why:
Potassium 5.1 mMol/L
Chloride 94 mMol/L
Bicarbonate 20 mMol/L
Glucose 183 mg/dL
BUN 19 mg/dL
Creatinine 0.9 mg/dL
Calcium 8.9 mg/dL
Lactate 1.3 mMol/L
Panel 5 Sodium 130 mMol/L Here’s who it is, and here’s why:
Potassium 6.0 mMol/L
Chloride 83 mMol/L
Bicarbonate 14 mMol/L
Glucose 71 mg/dL
BUN 44 mg/dL
Creatinine 4.8 mg/dL
Calcium 9.9 mg/dL
Osmolality 326 mOsm/Kg
Panel 6 Sodium 135 mMol/L Here’s who it is, and here’s why:
Potassium 5.6 mMol/L
Chloride 110 mMol/L
Bicarbonate 14 mMol/L
Glucose 73 mg/dL
BUN 88 mg/dL
Creatinine 7.8 mg/dL
Calcium 7.1 mg/dL
Osmolality 316 mOsm/Kg
Panel 7 Sodium 153 mMol/L Here’s who it is, and here’s why:
Potassium 3.2 mMol/L
Chloride 112 mMol/L
Bicarbonate 30 mMol/L
Glucose 123 mg/dL
BUN 14 mg/dL
Creatinine 0.8 mg/dL
Calcium 8.6 mg/dL
Lactate 1.3 mMol/L
Panel 8 Sodium 158 mMol/L Here’s who it is, and here’s why:
Potassium 3.1 mMol/L
Chloride 117 mMol/L
Bicarbonate 26 mMol/L
Glucose 109 mg/dL
BUN 18 mg/dL
Creatinine 1.0 mg/dL
Calcium 8.6 mg/dL
Serum Ketones Normal
Panel 9 Sodium 125 mMol/L Here’s who it is, and here’s why:
Potassium 3.5 mMol/L
Chloride 90 mMol/L
Bicarbonate 16 mMol/L
Glucose 54 mg/dL
BUN 12 mg/dL
Creatinine 0.9 mg/dL
Calcium 8.0 mg/dL
Serum Ketones Elevated
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