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This one turned up on my desk last Thursday. A 68 year old man, admitted through the Accident & Emergency Department. Clinical information was 'pneumonia?'. Serum results were Sodium: 127 mmol/L (134 - 145) Potassium: 5.5 mmol/L (3.6 - 5.3) Urea: 43.1 mmol/L (2.8 - 7.0) Creatinine: 384 umol/L (62 - 133) Albumin: 35 g/L Globulins: 29 g/L Bilirubin: 128 umol/L (3 - 22) Alkalinine phosphatase: 215 IU/L (<126) AST: 1266 IU/L (<41) ALT: 2010 IU/L (<56) Creatine kinase: 3580 IU/L (<170) Free T4: 6.6 pmol/L (10 - 26) TSH: 33.0 mU/L (0.25 - 5.5) Comment (maximum two lines if possible please) and/ or other action directly to us please ([log in to unmask]), not to the mailbase. Best wishes Li Ping and Gordon Challand %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%