)
EMERGENCEY COURSE:
The patient was noted to have a maroon, round tablet with AP1 scored on one side (Fig.1) in the product of emesis.
INITIAL LABORATORY WORK UP:
| Test | Reference Range | Result |
|---|---|---|
| Urea Nitrogen | (6-18 mg/dl) | 8 mg/dl |
| Creatinine | (0.2-1.1 mg/dl) | 0.9 mg/dl |
| Total Bilirubin | (0.2-1.3 mg/dl) | 0.6 mg/dl |
| Gamma glutamyl transferase | (<44.0 Units/L) | 24 U/L |
| AST | (<40.0 Units/L) | 25 U/L |
| ALT | (<40.0 Units/L) | 25 U/L |
| Alk.Phosphatase | (<400 Units/L) | 97 U/L |
| Carbon Mono | <1% | 0.7% |
| Methehemoglobin | (0.0-3.0%) | 25.6% |
| pH Venous | (7.30-7.40) | 7.40 |
| PCO2 Venous | (41-51mm Hg) | 41 mm Hg |
| PO2 Venous | (35-45 mm Hg) | 46 mm Hg |
| HCO3 Venous | (22-26 mm Hg) | 25 mm Hg |
| Base Excess | (0-2 mm Hg) | 1 mm Hg |
| Hgb | (12.0-16.0 mg/dl) | 12.8 mg/dl |
| HCT | (36.0-46.0%) | 38.1% |
| RBC | (4.10-5.20) | 4.30 |
| MCV | (78.0-102.0) | 88.5 |
| MCH | (24.0-30.0) | 29.7 |
| MCHC | (32.0-36.0) | 33.6 |
| RDW | (11.8-15.2) | 13.1 |
| WBC | (4.5-13.0) | 12.5 |
| Neutrophils | (31-61%) | 80 |
| Lymphocytes | (28-48%) | 13* |
| Monocytes | (3-9%) | 7 |
| Eosinophils | (0-3%) | 0 |
| Basophils | (0-2%) | 0 |
| Platelets | (156-369%) | 31 |
The patient's urine drug screen for drugs of abuse and Gas Chromotagraphy/Mass Spectroscopy - comprehensive drug screen were negative except for methylene blue and caffeine. (note: pyridium was not included in drug library)
  |
