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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 VIII. Development and Deployment This case was developed as part of an integrated clinical teaching module for second-year medical students, and has been used over several years.. IX. Authors/Contributors Case drafted by Emily Hayden, M.D. with contributions and updates by the Gilbert Simulation Team. Compiled and formatted by Elan Guterman. Reviewed and edited with references by Jeffrey Siegelman, M.D. and Zoë Howard, M.D. X. References a) Strasberg SM. Clinical practice. Acute calculous cholecystitis. N Engl J Med. Jun 26 2008;358(26):2804-11. 96
Gilbert Program in Medical Simulation Simulation Casebook Harvard Medical School Draft of the 1 st edition (2011), updated 3/2/12 XI. Appendix A: Lab Values BASIC 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 CHEMISTRY TESTS Reference Range Lipase 34 7 – 60 IU/L Urine HCG Negative N/A COMPLETE BLOOD COUNT Reference Range WITH DIFFERENTIAL Male Female White Blood Cell (WBC) 16,000 4,500 - 10,000 K/uL Neutrophils (%) 65 54 – 62% Band forms (%) 8 3 - 5 (>8% indicates L shift) Basophils (%) 0.75 0 – 1% 0 - 0.75% Eosinophils (%) 2 0 – 3% 1 – 3% Lymphocytes (%) 10 24 – 44% 25 – 33% Monocytes (%) 4 3 – 6% 3 – 7% Hemoglobin (HGB) 13.0 13.5 - 16.5 g/dL 12.0 - 15.0 g/dL Hematocrit (HCT) 39.2 41 – 50% 36 – 44% 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 400,000 100,000 - 450,000 K/uL 97
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