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STUDY: Abdomen/Pelvis CT
FINDINGS:CT obtained with limited contrast. Shows mild dilation of small and large bowel with mild to moderate fluid air levels present on several cuts. Thickening in the bowel wall noted and appears to be air inside the mesenteric vessels and the bowel wall itself in the territory of the superior mesenteric artery. No free air or significant free fluid is seen. No other abnormality seen.
IMPRESSION:Apparent ileus with likely pneumotosis intestinalis – clinical correlation is recommended.
BMP
Glucose 122 65-100 mg/dL
BUN 34 5-20 mg/dL
Sodium 141 136-145 meq/L
Potassium 3.5 3.5-5.5 meq/L
Chloride 100 100-106 meq/L
CO2 13 22-32 meq/L
Creatinine 1.3 0.2-1.4 mg/dL
UrinalysisClarity clear
Color yellow
Glucose negative negative mg/dL
Bilirubin negative negative
Ketones negative negative mg/dL
Sp. grav. 1.040 1.003-1.040
Blood negative negative
pH 5.0 5.0-8.0
Protein negative negative mg/dL
Urobilinogen 0.1 0.2 EU/dL
Nitrites negative negative
Leukocytes negative negative
Urine microscopy
Urine RBC None seen NS/HPF
Urine WBC NS/HPF NS/HPF
Urine epithelial cells
NS/HPF NS/HPF
Urine bacteria None seen /HPF
Urine casts None seen NS/LPF
Hepatic Function PanelAST 32 19-48 U/L
ALT 18 17-60 U/L
Alk. phos. 105 56-119 U/L
T. Bili 0.8 0.4-1.5 mg/dL
Albumin 4.1 3.2-4.6 g/dL
GGT 34 12-58 U/L