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)