A 26-year-old primigravida woman presented to the clinic at 37 weeks’ gestation for a routine antenatal care. She reports feeling ill and has a frontal headache. A urine dipstick analysis is performed and shows proteinuria 2+. She is admitted to the hospital High Risk Unit and started on an intravenous infusion of magnesium sulfate.

Blood pressure 152/102 mmHg
Heart rate 72 /min
Respiratory rate 16 /min
Temperature 37.2° C oral

A 29-year-old G4 P3003 at 12 weeks’ gestation. Her current pregnancy has been uneventful.
One week ago she has noticed swelling of her ankles and feet (see lab results).

Blood pressure 150/95 mmHg
Heart rate 84 /minute
Temperature 36.9°C
Respiratory Rate 15 /minute

Test Result Normal Values
Hb 11.9 120-158 g/L
Creatinine 65 58-145 µmol/L
Uric acid 210 140-360 µmol/L
Urine analysis Trace protein

A 29-year-old man is evaluated for a diagnosis of hypercalcemia. 5 days ago, he was treated of a kidney stone in the Emergency Department. Physical examination is unremarkable (see lab results).

Blood pressure 140/79 mmHg
Heart rate 85 /min
Respiratory rate 13 /min
BMI 30 kg/m2

Test Result Normal Values
Sodium 139 134-146 mmol/L

Potassium 4.0 3.5-5.1 mmol/L
Chloride 99 97-108 mmol/L
Bicarbonate 23 21-28 mmol/L
Calcium 2.95 2.15-2.62 mmol/L
Phosphate, inorganic 0.76 0.82-1.51 mmol/L
Parathyroid hormone (intact PTH levels) 200 1.1-5.3 pmol/L
Blood urea nitrogen 9.5 2.8 to 8.9 mmol/L
Creatinine 125 44-115 µmol/L