Case Report
Food Particle Aspiration Associated with Hemorrhagic Shock: A Diagnostic Dilemma
Table 1
Laboratory test results on admission and repeated tests 24 hours later.
| | Laboratory tests on arrival to ED | Laboratory tests 24 hrs after aspiration |
| | Arterial blood gas analysis (ABG) | | PH: 7.21 | PH: 7.38 | |
PCO2: 28 mmHg | PCO2: 32 mmHg | | PO2: 423 mmHg | PO2: 134 mmHg | | HCO3: 11.2 mmol/L | HCO3: 19.3 mmol/L | | Lactate: 12.9 mmol/L | Lactate: 14.34 | | FiO2: 100% | FiO2: 60% |
| | Serum chemistry tests | | Glucose: 120 mg/dL | Glucose: 174 mg/dL | | K: 3.6 mmol/L | K: 4.9 mmol/L | | Na: 143 mmol/L | Na: 148 mmol/L | | Cl: 117 mmol/L | Cl: 105 mmol/L | | HCO3: 12 mmol/L | HCO3: 22 mmol/L | | Ca: 7.7 mg/dL | Ca: 8.2 mg/dL | | Mg: 2.0 mg/dL | Mg: 2.2 mg/dL | | BUN: 31 mg/dL | BUN: 36 mmol/L | | Creatinine: 2.0 mg/dL | Creatinine: 2.1 mg/dL | | ALB: 2.5 gm/dL | ALB: 2.5 gm/dL | | TPROT: 4 gm/dL | TPROT: 3.8 gm/dL | | ALKPHOS: 103 U/L | ALKPHOS: 156 U/L | | ALT: 426 U/L | ALT: 3947 U/L | | AST: 2307 U/L | AST: >7000 U/L | | TBILI: 0.9 mg/dL | TBILI: 1.7 mg/dL |
| | Complete blood count | | WBC: 12.56 k/μL | WBC: 13.09 k/μL | | HB: 8.1 g/dL | HB: 5.3 g/L | | HCT: 25% | HCT: 16.8% | | PLT: 133 k/μL | PLT: 155 k/μL |
| | Coagulation profile | | APTT: 31.0 sec | APTT: 31.8 sec | | INR: 1.5 | INR: 1.6 |
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