Laboratory parameter (Unitage)
Reference Interval
Day 1
Day 2
Day 5
Day 7
Day 8
Day 10
Day 15
Admission Low Hb: 1 unit of RCC
*IV Coamoxiclav 1.2g tds for 5d
OGD No active/ recent bleeding/ ulceration CTAP Revealed multiple splenic infarcts & diverticula disease During the afternoon the patient suffered an additional bleeding PR: 1unit of RCC given overnight
1 unit of RCC
@08:00h Oral Coamoxiclav switched to IV Ceftriaxone 2g/d @ 14:00h TTE Revealed a large echo density suggestive for vegetation @ 16:30h *Amoxicillin 1g every 4h & Gentamicin 50mg tds Further bleeding PR 1unit RCC Pulse-les, unresponsive, declared dead (Rest in Peace)
White Cell Count ( 10^9/L) 4 - 10 11.6 9.8 8.6 10.6 9.9 9.2 8.9
Neutrophil Count (10^9/L) 2 - 7 9.2 7.6 6.9 8.8 8.2 7.6 6.9
Haemoglobin (g/dL) 12 - 15 7.7 8.5 9.7 9.0 8.2 8.6 9.2
Mean corpuscular volume (fL) 84 - 96 85 84 86 85 84 84 83
Platelet count (10^9/L) 150 - 400 320 263 327 338 312 292 231
C-reactive protein (mg/L) <5 62 n/r 52 37.8 33.3 25.7 19.6
Serum Urea (mmol/L) 2.9-8.2 8.6 n/r 4.3 5.2 4.1 3.8 2.7
Serum Creatinine (µmol/L) 49 - 90 108 n/r 60 59 61 58 58
Serum Albumin (g/L) 39 - 51 31 n/r 32 32 30 27 23
Serum Ferritin (ng/mL) 10 - 200 1015 n/r n/r n/r n/r n/r n/r
Plasma Lactate (mmol/L) 0.6-1.4 n/r n/r nr nr 0.8 0.8 n/r