MRU Laboratory Diagnosis For Diabetes And Esophageal Reflux Cases
Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, 6th Edition Adolescent With Diabetes Mellitus (DM) Case Studies The patient, a 16-year-old high-school football player, was brought to the emergency room in a coma. His mother said that during the past month he had lost 12 pounds and experienced excessive thirst associated with voluminous urination that often required voiding several times during the night. There was a strong family history of diabetes mellitus (DM). The results of physical examination were essentially negative except for sinus tachycardia and Kussmaul respirations. Studies Serum glucose test (on admission), p. 227 Arterial blood gases (ABGs) test (on admission), p. 98 pH PCO2 HCO2 Serum osmolality test, p. 339 Serum glucose test, p. 227 2-hour postprandial glucose test (2-hour PPG), p. 230 Glucose tolerance test (GTT), p. 234 Fasting blood glucose 30 minutes 1 hour 2 hours 3 hours 4 hours Glycosylated hemoglobin, p. 238 Diabetes mellitus autoantibody panel, p. 186 insulin autoantibody islet cell antibody glutamic acid decarboxylase antibody Microalbumin, p. 872 Results 1100 mg/dL (normal: 60–120 mg/dL) 7.23 (normal: 7.35–7.45) 30 mm Hg (normal: 35–45 mm Hg) 12 mEq/L (normal: 22–26 mEq/L) 440 mOsm/kg (normal: 275–300 mOsm/kg) 250 mg/dL (normal: 70–115 mg/dL) 500 mg/dL (normal:
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