In message <A1581AC3AAEAD311A48900508B6374D2751775@Mars>,
Mainwaring-Burton Richard (RGZ)
<[log in to unmask]> writes
>Do hallucinations elevate CK ?
>This patient is similarly able to exercise the grey matter and increase hair
>loss.
>
>Long standing digoxin user
>She had a proven MI (ECG + chest pain etc) on the 19th and was discharged on
>the 25th, but came back yesterday complaining of hallucinations which were
>described as exceedingly vivid and explicit. (BNF 43 lists hallucinations as
>a digoxin side-effect)
>We were asked to repeat (reluctantly) her Trop I (Bayer Centaur) as a
>further MI as cause of her 'confusion' was to be ruled out.
>
>The Troponin was coming down nicely from the previous, but it transpired
>that the CK has risen steadily since the first admission.
>
>F dob 13/03/1915
> Date|26/06/2002 21/06/2002 19/06/2002 19/06/2002 11/12/2001
> Time|09:51 10:20 18:26 01:01 08:10
>Test-- -----------------------------------------------------
>CK |560 328 265 212
>TROI |0.20 6.32
>DIG |0.9
>SNA |139 143 139 143
>SK |4.5 4.6 4.3 4.9
>SU |8.2 9.0 6.6 7.0
>SCRE |132 128 111 108
>SCAL |2.49
>BIL |19 14 14
>TSH |2.30
>FT4 |21.8
>
>comments please !
Hallucinations don't but psychosis is a well recognised cause of an
elevation in CK.
Can I make a plea for people submitting tables to put them in a document
rather than in plain text as the internet usually scrambles formatting.
Trevor
--
Trevor Gray
Dept. of Clinical Chemistry,
Northern General Hospital,
Sheffield S5 7AU
0114 271 4309
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