Table 2 Initial investigations upon presentation

Haemoglobin

136 g/L (115–160)

White Cell Count

6.1 × 10⁹/L (4–11)

CRP

244 mg/L (< 5)

ESR

45 mm/Hr (< 12)

ALT

239 U/L (< 45)

AST

163 U/L (< 35)

ALP

174 U/L(30–110)

GGT

171 U/L (< 55)

Total Bilirubin

80umol/L (< 20)

Conjugated Bilirubin

58umol/L (< 4)

INR

1.4 (0.9–1.2)

Albumin

18 g/L (29–42)

Fibrinogen

6 g/L (1.7–4.5)

Haptoglobin

2.7 g/L (0.36–1.95)

Blood Film

Normal

Creatinine

63 umol/L (38–82)

Urine - Protein Creatinine Ratio:

58 g/mol creatine (< 15)

Urine – Microscopy, Culture and Sensitivity

No Bacterial Growth

Lipase

83 U/L (< 60)

Creatinine Kinase

94 U/L (28–142)

Thyroid Function Tests

T4 13.0 pmol/L (7–13), TSH 2.9 mU/L(0.3–4.5)

BNP

323 ng/L (< 100)

IgG

5.4 g/L (7–16)