Questions for Dr. Chung



Doctor Chung,

I have some questions re: to my latest blood test and urine test.


Reference ranges were listed on the blood test form for all items except
for these three items. Please check the PDR or other reference books and
list the standand reference ranges for these three items:

This was NOT a 24 hour urine test--it was a spot test of urine.
urine sodium
urine potassium
urine chloride

Please comment on these results:
serum sodium 140 (135-145)
serum potassium 3.7 (3.5-5.1)
serum chloride 103 (98-107)

This was NOT a 24 hour urine electrolyte test--It was a spot test of urine.
urine sodium 20
urine potassium 25.3
urine chloride 26

TSH 7.56 high (0.27-4.2)

Differential
Eosinophils 6.5 high (0-4)

I found this quote in a book:

"Urine sodium concentration is useful in determining the cause of
hyponatremia. Urine sodium <20 mEq/L reflects sodium conservation by the
kidneys and is found in ECFV depletion and edematous states CHF, nephrotic
syndrome and cirrhosis."

I would appreciate your comments,
Jason


.



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