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My mother developed ITP in her 70s. Her platelets had dropped to below 5,000 when they did her splenectomy. She did not have a spontaneous remission though ("60% of cases"), and her platelets remained below 100,000, even on steroids.
Many years ago we had an OB patient with a familial form of hyperlipemia. After this length of time, I can't remember which blood fats were involved, but I do remember that they were impossibly high and that we had her on hyperal for awhile because she couldn't tolerate oral feedings. She did have a healthy baby, and her lipid levels returned to her normal within a few weeks or months.
H/H of 1 and 4. Young post-hysterectomy patient bled out at home and in ED. Pt went to surgery but stroked out. Withdrew care on my shift.
I think, shortly before he passed away, that my Dad had a PSA of either 13,000 or 17,000. The visiting nurse who changed the dressing on his nephrostomy said it was the highest she had heard of.
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talaxandra
3,037 Posts
So yesterday I was looking after this guy with rhabdo, who came in with a CK of 243,100 and I was wondering - what's the highest value you've seen? Not necessarily CK, any value.
An example, for example - I had a woman who had a glucose of 120.8mmol/L. I don't know how to translate that into the US scale, but the normal range is around 4 - 9 in a well-controlled diabetic.
Same patient, different admission - triglycerides 8.1 (0.0 - 2.0), cholesterol 22 (?
Highest K+? 7.6mmol/L (renal patient)
Urea - 48.6, creatinine 1.18!!! (same patient, normal levels in June this year)
Highest BP 310/145 (stroke patient)
Do we have any other contenders?