Interpretation of specialty exam results The following abnormalities were noted from the results of the specialty exams: 1. Glucose slightly increased 2. Alkaline phosphatase high 3. Na slightly decreased 4. Cl slightly decreased 5. HCT low 6. Urinalysis: Bilirubin 1+, few bilirubin crystals 7. Radiagraphs show a closed, comminuted comlpete fracture of the left midshsft femur, with some chip fractues evident by the shards of bone in the surrounding area; the radiographs of the right tibia/fibula are slightly more difficult to interpret. There appears to be a closed complete(transverse to slightly oblique) midshaft fracture with some chip fractures. The fracture may or may not be comminuted. It is difficult to tell from this particular radiograph.