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21 August 2020: Articles

The Role of Point-of-Care Ultrasound (POCUS) in Envenomation by a Desert Viper

Challenging differential diagnosis, Unusual setting of medical care

Amr Elmoheen E* , Waleed Awad Salem B , Galal Al Essai B , Dharmesh Shukla B , Ankush Pathare B , Stephen H. Thomas C

DOI: 10.12659/AJCR.924306

Am J Case Rep 2020; 21:e924306

Table 1. Baseline laboratory testing at the presentation and throughout the course of treatment.

Normal rangePatient labs at presentation 3 h postenvenomationPatient labs at 10 h postenvenomationPatient labs 4 h postanti-venom administrationPatient labs before discharge
Hemoglobin(13–17) g/dL14.515.815.212.2
Sodium(135–145) mmol/L137135137135
Potassium(3.6–5.1) mmol/L543.74.8
Chloride(96–110) mmol/L105106110105
Renal panel
Creatinine(64–110) μmol/L92807972
Urea(3.0–9.20) mmol/L5.355.75.25.6
Liver function
AST(5–34) U/L23343920
ALT(0–55) U/L27262321
Total bilirubin(3.4–20.5) μmol/L7182014
Albumin(35–50) g/L42393036
PT(7.8–9.9) s10.344.7 ↑20.79.7
APTT(25.3–33.8) s18.635.1 ↑41.729.8
INR(0.8–1.0)1.14 ↑21
D-Dimer(0.00–0.55) mg/L>34.18>34.18
Fibrinogen(1.80–3.50) g/L
Lactic acid(0.5–1.6)3.72.9
CBC – complete blood count; WBC – white blood cells; AST – aspartate aminotransferase; ALT – alanine aminotransferase; PT – prothrombin time; APTT – activated partial thromboplastin time; INR – international normalized ratio.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923