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evidence of increased intracranial pressure Laboratory Evaluation Blood venous blood gas for blood pH electrolytes, measured CO2, glucose blood ammonia (NOTE: draw WITHOUT tourniquet, from free-flowing blood, place on ice and transport STAT to lab to be run immediately) AST, ALT, AlkPO4, PT, PTT, INR amylase, lipase plasma amino acids plasma total and free carnitine CBC, differential WBC count, platelet count blood culture (if indicated) Urine urinalysis for specific gravity and ketones urine for organic acids urine culture (if indicated) NOTE: organic acids and ammonia are toxic to the brain and accumulations of these may result in cerebral edema

[DOI] [PubMed] [Google Scholar] 158.Pangrazzi L., Balasco L., Bozzi Y

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