Altered Mental

Status
Case Stimuli
Emergency Medicine Clerkship
EKG- Case # 1
Laboratory Tests Case # 1
CBC 8>12<234 Tox Screen: negative
Na 136 Trop 0.03
K 4.2 EtOH: Negative
Cl 110 Hcg: Negative
Bicarb 22
BUN 12
Cr 0.6
CXR
CT
LP Case # 1
Color: turbid
WBC 12,2
RBC 1235, 1024
Protein 86
Glucose 75
Opening pressure 240 mmhg
Xanthochromia - positive
EKG- Case # 2
Laboratory Tests Case # 2
Labs: INR: 2.1
18>10<320 LFT: WNL
Na 131 Troponin: .02
K 4.2 Lactic Acid: 6
Cl 100 TSH: .3; free T4 2
Bicarb 16
BUN 43
Cr 2.3
BS: 120
CXR
CT brain
CT Abdomen and Pelvis
LP
Color: clear
WBC 5,0
RBC 36,1
Protein 47
Glucose 94
Opening pressure 180 mmhg
Xanthochromia - negative
Urinalysis
4+ bacteria
WBC>100
RBC> 100
EKG Case # 3
Laboratory Tests Case #3
Chem Stick: 104 Urinalysis: negative
CBC: 8>12<270 Tox Screen: negative
Chem: 145/4.2 Salicylate: negative
105/15 10/1.1 Acetominophen:
Glucose 100 Negative
LFT: WNL
TSH: 1.1
CXR Case # 3
CT brain
Laboratory Tests Case # 3
EtOH: 0.02
Blood Gas
6.76/38/180
Laboratory Tests
Serum Osmoles: 311
Osmolar Gap: 18
Methanol level
Send out test 260mg/dl