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| Test | 11 Jul 2025 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 91.8 | 70 - 99 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 17.0 | 7 - 25 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 1.4 H | 0.5 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.4 | 8.5 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 142.9 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.6 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 108.9 | 98 - 110 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 23.1 | 22 - 29 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = trace |
| Test | 11 Jul 2025 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 1.8 | 0 - 2.8 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 1.2 | 0 - 1.5 | mg/dL |
| Bilirubin.total [Presence] in Urine by Test strip | Finding of bilirubin in urine | ||
| Ketones [Mass/volume] in Urine by Test strip | 2.6 | 0 - 4 | mg/dL |
| Specific gravity of Urine by Test strip | 1.0 L | 1.005 - 1.03 | {nominal} |
| pH of Urine by Test strip | 5.5 | 4.6 - 7 | pH |
| Protein [Mass/volume] in Urine by Test strip | 138.2 H | 0 - 15 | 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 |
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| The patient shows persistently elevated serum creatinine and significant proteinuria, with low urine specific gravity and glucosuria, but normal blood glucose. Urine is consistently cloudy, brown, and ammoniacal, with bilirubin and trace ketones present, but no hematuria or leukocyturia. These findings suggest chronic renal impairment with possible tubular dysfunction (e.g., proteinuria, glucosuria, low specific gravity) rather than infection. Further nephrological evaluation is recommended. |