Case 25

1. Presented by Eric A. Gehrie, MD and prepared by Lorraine N. Blagg, MA, MLS(ASCP)SBB

Clinical Vignette

An adult patient with a history of HIV and cirrhosis presented to the emergency department with confusion and slurred speech. No recent transfusion history from the patient's medical record.

Laboratory results:

  • Hemoglobin: 11.8 g/dL

  • Hematocrit: 36.0%

  • Platelet count: 147 K/cu mm

  • Potassium: 2.9 mmol/L

  • INR: 1.4

  • Troponin: <0.04 ng/mL

  • Serum EtOH: <10 mg/dL

  • Ammonia: 66 ?mol/L

  • Toxicology Screen, Urine: Not Detected

What is the interpretation of the type and screen results?