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| Test | 19 Jun 2025 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 109.2 H | 70 - 99 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 13.7 | 7 - 43 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.0 H | 0.9 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.2 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 140.2 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.5 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 109.3 H | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 21.1 L | 22 - 29 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = ++ | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 4.5 | 4 - 6 | % |
| Test | 19 Jun 2025 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 0.5 | 0 - 1 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 1.1 | 0 - 1.4 | mg/dL |
| Bilirubin.total [Presence] in Urine by Test strip | Finding of bilirubin in urine | ||
| Ketones [Mass/volume] in Urine by Test strip | 18.8 | 0 - 20 | mg/dL |
| Specific gravity of Urine by Test strip | 1.0 L | 1.005 - 1.03 | {nominal} |
| pH of Urine by Test strip | 5.4 | 4.6 - 7 | pH |
| Protein [Mass/volume] in Urine by Test strip | 344.5 H | 0 - 14 | mg/dL |
| Protein [Presence] in Urine by Test strip | Urine protein test = ++ | ||
| Nitrite [Presence] in Urine by Test strip | Urine nitrite negative | ||
| Hemoglobin [Presence] in Urine by Test strip | Urine blood test = negative | ||
| Leukocyte esterase [Presence] in Urine by Test strip | Urine leukocyte test negative |
| Conclusion and Recommendations based on this report and previous findings known to us |
|---|
| The patient shows mildly elevated serum glucose and creatinine, with low total CO₂ and high chloride, suggesting possible mild renal impairment and metabolic acidosis. Urinalysis reveals significant proteinuria, glucosuria, ketonuria, and abnormal urine appearance (cloudy, brown, ammoniacal), but no evidence of infection. HbA1c is normal, indicating no chronic hyperglycemia. Findings are suggestive of acute or subacute renal dysfunction with possible tubular involvement; further nephrological evaluation is recommended. |