Table 1 Laboratory data
Blood tests at admission | |
Complete blood count | |
White blood cell | 19,600/μL |
Red blood cell | 509 × 104/μL |
Hemoglobin | 16.1 g/dL |
Hematocrit | 47.30% |
Platelet | 12.9 × 104/μL |
Arterial blood gas (oxygen 6 l/minute) | |
pH | 7.21 |
PaCO2 | 30.2 mmHg |
PaO2 | 138.9 mmHg |
Hydrogen carbonate | 11.8 mmoL/L |
Base excess | −14.6 mmoL/L |
Lactate | 11.75 mmoL/L |
Anion gap | 26.2 mEq/L |
Additional tests for differential diagnosis | |
Blood test | |
Glucose | 109 mg/dL |
Insulin | 7.8 μU/mL |
C peptide | 2.64 ng/mL |
GAD antibody | < 0.5 U/mL |
ACTH | 23.1 pg/mL |
Cortisol | 14.6 μg/dL |
DHEA-S | 372 ng/mL |
Plasma renin activity | 6.1 ng/mL/hour |
Aldosterone | 162.3 pg/mL |
Growth hormone | 0.10 ng/mL |
IGF-1 | 211 ng/mL |
TSH | 1.59 μIU/mL |
Free triiodothyronine | 2.63 pg/mL |
Free thyroxin | 0.93 ng/dL |
Biochemistry | |
Total bilirubin | 0.9 mg/dL |
Aspartate transaminase | 47 IU/L |
Alanine aminotransferase | 59 IU/L |
Creatine kinase | 215 IU/L |
Blood urea nitrogen | 16.9 mg/dL |
Creatinine | 1.35 mg/dL |
Sodium | 138.6 mEq/L |
Potassium | 3.1 mEq/L |
Chloride | 96.9 mEq/L |
Glucose | 523 mg/dL |
Hemoglobin A1c | 5.70% |
Total ketone body | 289 μmoL/L |
Acetoacetic acid | 54 μmoL/L |
3-hydroxybutyric acid | 235 μmoL/L |
Urinary test | |
Metanephrine | 1.87 mg/day |
Normetanephrine | 0.83 mg/day |
Adrenalin | 322.4 μg/day |
Noradrenaline | 347.6 μg/day |
Dopamine | 1003.9 μg/day |
Clonidine (0.15 mg) suppression test | |
Baseline | |
Adrenaline | 0.15 ng/mL |
Noradrenaline | 0.31 ng/mL |
Dopamine | ≦ 0.01 ng/mL |
3 hours after clonidine | |
Adrenaline | 0.11 ng/mL |
Noradrenaline | 0.27 ng/mL |
Dopamine | ≦ 0.01 ng/mL |