Serum Enzyme Worksheet

Copy and paste this worksheet to your computer. Complete the assignment and send as an email attachment to skumm@kumc.edu.

Each of the following patients came to the Emergency Department incoherent and in obvious pain.

 1.      What is the most probable cause of the following lab results?

Total CK        CK-BB
   CK-MB
   CK-MM AST
ALT
GGT 
 
ALP            
  205 
   0%
  3%
  97%
  65
  52
  30
150
Total LDH     380
   LDH1        15%
   LDH2        20%
   LDH3        15%
   LDH4        35%

   LDH5        15%
Amylase        580
Lipase             90

 2.      What is the most probable cause of the following lab results?

Total CK
CK-BB
CK-MB     
CK-MM    
AST         
ALT 
GGT
ALP           
205 
50% 
  3%
47%
25
32
30
100
Total LDH    80
   LDH1      18%
   LDH2      20%
   LDH3      52%
   LDH4        5%

   LDH5        5%
Amylase       80
Lipase            8

   3.      What is the most probable cause of the following lab results?

Total CK      205 
   CK-BB      0%
  CK-MB     23%
  CK-MM     47%
AST               85
ALT              32
GGT              30
ALP            100
Total LDH    80
   LDH1      38%
   LDH2      30%
   LDH3      22%
   LDH4       5%

   LDH5       5%
Amylase      80
Lipase         8


4.      What is the most probable cause of the following lab results? 

Total CK         75 
   CK-BB       0%
   CK-MB       3%
   CK-MM     97%
AST              285
ALT               62
GGT            230
ALP              200
Total LDH      280
   LDH1          18%
   LDH2          20%
   LDH3          22%
   LDH4             5%

   LDH5           35%
Amylase           280
Lipase               38

  

5.      What is the most probable cause of the following lab results? 

Total CK      195 
   CK-BB       0%
   CK-MB       3%
   CK-MM      97%
AST               85
ALT              60
GGT             30
ALP             100
Total LDH      280
   LDH1         18%
   LDH2         20%
   LDH3          62%
   LDH4           5%

   LDH5           5%
Amylase         80
Lipase              8

  

6.      What is the most probable cause of the following lab results? 

Total CK        195 
   CK-BB         0%
   CK-MB         3%
   CK-MM       97%
AST               185
ALT           
    90
GGT               30
ALP              100
Total LDH      280
   LDH1         10%
   LDH2         10%
   LDH3          10%
   LDH4         35%

   LDH5          35%
Amylase          80
Lipase               8

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