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Thanks to all of you who responded to our "creatinine comet'' 
patient. Todays results showed a creat. of 285 mumol/L. The rising 
creatinine was the result of a drain in the biliary system by which 
approx. 3 L of fluid were removed. The raised pancreatic enzymes
were apparently the result of putting the drain in its place (amylase 
halved today).

Best regards

Raymond Wulkan
Zuiderziekenhuis
Rotterdam
 


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