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Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 COMPREHENSIVE METABOLIC PANEL Reference Range Sodium 136 135-147 mmol/L Potassium 3.5 3.5-5.2 mmol/L Chloride 100 95-107 mmol/L CO 2 24 22-30 mmol/L Urea Nitrogen (BUN) 20 7-20 mg/dL Creatinine 1.2 0.5-1.2 mg/dL Glucose 100 60-110 mg/dL Calcium 9.3 8.7 - 10.7 mg/d Total Protein 7.0 6.3 – 8.5 g/dL Albumin 3.4 3.2 – 5 g/dL Bilirubin, total (T. Bili) 1.0 0.1 – 1.2 mg/dL Alkaline Phosphatase 70 30 - 125 units/L Aspartate Aminotransferase (AST) 28 15 – 50 IU/L Alanine Aminotransferase (ALT) 25 6 – 50 IU/L 170
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 XI. Appendix B: Diagnostic Studies Chest X-Ray #1: RUL Pneumonia (Male) http://www.med-ed.virginia.edu/courses/rad/cxr/pathology3chest.html Chest X-Ray #2: LLL Pneumonia (Male) http://medinfo.ufl.edu/~bms5191/pulmon/p3.html Chest X-Ray #3: RML Pneumonia (Female) – select RML http://www.meddean.luc.edu/lumen/MedEd/medicine/pulmonar/cxr/atlas/cxratlas_f.htm ECG: Sinus tachycardia (fever, dehydration) http://www.emedu.org/ecg/images/st_1a.jpg XII. Appendix C: Teaching Materials Blood Culture: S. Pneumoniae http://pathmicro.med.sc.edu/Infectious%20Disease/s%20pneumoniae.jpg Sputum Culture: S. Pneumoniae http://www.buddycom.com/bacteria/gpc/spneumo4.jpg PORT Score Calculator: http://www.mdcalc.com/psi-port-score-pneumonia-severity-index-adult-cap 171
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