text:  Notable for a BUN and creatinine of 78   1.7  for a sodium   potassium 139 and 3.6  chloride and bicarb 108   21 . White count 7   hematocrit 24.2 platelet count was 183 . His INR was also 3.4 . PTT was 55 . His EKG was notable for right bundle branch block   left axis deviation   but was in sinus rhythm . His UA had 10-17 white blood cells  trace leukocyte esterase hyaline casts numbering 60-70 . His chest x-ray was notable for clear lungs with no edema or infiltrates and small bilateral effusions . OTHER NOTALBE LABS  Patient was found to have a troponin of 0.71 on admission with a CK of 46 and CKMB of 3.4 . 