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Review Question - QID 109940

In scope icon M 5 C
QID 109940 (Type "109940" in App Search)
A 13-year-old boy presents to the emergency department with severe abdominal pain. His parents state that he has been complaining of abdominal pain that became increasingly severe this evening. They also state he has been eating much more lately yet still has been losing weight. The patient's past medical history is unremarkable and he is not currently on any medications. His temperature is 99.5°F (37.5°C), blood pressure is 90/58 mmHg, pulse is 150/min, respirations are 24/min, and oxygen saturation is 98% on room air. Physical exam is notable for diffuse abdominal tenderness and tachycardia. Laboratory values are ordered as seen below.

Hemoglobin: 12 g/dL
Hematocrit: 36%
Leukocyte count: 6,500/mm^3 with normal differential
Platelet count: 197,000/mm^3

Serum:
Na+: 139 mEq/L
Cl-: 100 mEq/L
K+: 4.3 mEq/L
BUN: 20 mg/dL
Glucose: 599 mg/dL
Creatinine: 1.1 mg/dL
AST: 12 U/L
ALT: 10 U/L

Which of the sets of laboratory changes shown in Figure A reflects this patient's physiology as compared to his baseline?
  • A
  • A