Mr. Raymond's chest pain
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation
 
Cardiac Enzymes
CK (U/L) 212 (55-215) 
CK - MB  3%  (<5%) 
LDH  (U/L) 200  (100-250)
Cardiac Troponin I (ng/ml)         1.6 (<0.4ng)

How can it be that serum enzymes we normally associate with tissue injury or necrosis are normal and yet the troponin is elevated?

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Back to Hematology lab values
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The nurse says Mr. Raymond is now complaining of chest pain.

  

 

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