A 33-year-old woman of Indian origin presented for prenatal care at term. An ultrasound report from earlier in her pregnancy indicated complete placenta previa and placenta increta, which were confirmed by repeat ultrasound. She was admitted to the hospital for monitoring and delivery planning. On admission, brown vaginal spotting was noted on the patient’s pad. Her nail beds and fingers were c...

A 43-year-old African-American man with a history of hypertension, depression, and chronic alcohol abuse presented to the emergency service of an outside hospital complaining of chest pain. Laboratory testing indicated hepatocellular injury with aspartate aminotransferase (AST) of 14000 U/L (reference interval 5– 41 U/L) and alanine aminotransferase (ALT) of 6400 U/L (reference interval 8 – 45 ...

A 5-day-old girl, born at term after an uncomplicated pregnancy, was admitted to the hospital after a routine midwife check showed that she had lost 15% of her original birth weight [6.2 lb (2.83 kg)]. She was being fed normal-term formula milk, and an initial assessment revealed only mild dehydration. The working diagnosis was a feeding problem, and her management plan was to be fed 150 mL/kg ...

BACKGROUND Reference intervals (RIs) for serum IgG subclasses vary greatly among different geographical regions. The present study aimed to establish RIs for serum IgG subclasses in Chinese children, which is essential for interpretation of laboratory findings and making clinical decisions. METHODS This study was performed in accordance with guideline C28-A3, proposed by the International Fed...