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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 Red blood cell (RBC) 4.8 4.5 - 5.5 M/uL 4.0 - 4.9 M/uL RBC Distribution Width 10.0 < 14.5% MCV 90 80 – 100 fL MCH 32 26 – 34 pg MCHC 33 31 – 37 g/dL Platelet 100,000 100,000 - 450,000 K/uL HEPATIC PANEL Reference Range Age 25-60 Age >61 Albumin 4.0 3.5 – 5.0 g/dL Alkaline Phosphatase 220 33 – 131 IU/L 51 – 153 IU/L Aspartate Aminotransferase (AST) 1000 15-50 IU/L Alanine Aminotransferase (ALT) 1200 6-50 IU/L T. Bilirubin 0.7 0.1 – 1.2 mg/dL D. Bilirubin 0.1 0 – 0.3 mg/dL Total Protein 7.4 6.3 – 8.5 g/dL SERUM KETONES Reference Range Beta Hydroxybutyrate 0.1 0-0.3 Acetoacetate 0.8 0.3-2.0 TOXICOLOGY SCREEN Reference Range Acetaminophen
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 Amphetamines Negative Negative URINALYSIS Reference Range Color Tea colored Pale to dark yellow, amber pH 7.3 5 – 8 Specific gravity 1.002 1.002 – 1.035 Protein Positive Negative/trace Glucose Negative Negative Ketones Negative Negative Nitrites Negative Negative Bilirubin Negative Negative Blood Positive Negative Leukocyte Negative Negative Urobilinogen 0.3 0.2 – 1.0 Ehr U/L MICROSCOPIC URINALYSIS Reference Range Red blood cell 0.0 0 – 2/HPF White blood cell 0.0 0 – 2/HPF XI. Appendix B: Diagnostic Studies Chest X-Ray: Normal http://www.rctradiology.com/icons/normalchest.jpg ECG: Sinus tachycardia with peaked T-waves http://www.frca.co.uk/images_main/resources/ECG/ECGresource56.jpg Head CT: Normal http://www.urmc.rochester.edu/smd/Rad/neuroimages/CThead.jpg 89
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THE G. S. BECKWITH GILBERT AND KATH
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