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Laboratory Report
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Chemistry
| Test | 18-AUG-2021 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Blood | 65.5 L | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 8.9 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 3.3 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 8.8 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 143.8 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.6 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 101.2 | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 25.1 | 22 - 29 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 7.0 | 6.6 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 5.2 | 3.5 - 5.5 | g/dL |
| Globulin [Mass/volume] in Serum by calculation | 2.8 L | 25 - 35 | g/L |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 0.3 | 0.1 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 81.5 | 30 - 120 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 45.4 H | 10 - 40 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 24.3 | 10 - 40 | U/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test negative |
Urinalysis
| Test | 18-AUG-2021 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 2.0 H | 0 - 0 | mg/dL |
| Glucose [Presence] in Urine by Test strip | Urine glucose test = ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 1.1 | 0 - 4 | mg/dL |
| Bilirubin.total [Presence] in Urine by Test strip | Finding of bilirubin in urine | ||
| Ketones [Mass/volume] in Urine by Test strip | 6.9 H | 0 - 4 | mg/dL |
| Specific gravity of Urine by Test strip | 1.0 L | 1.005 - 1.030 | {nominal} |
| pH of Urine by Test strip | 6.7 | 5.5 - 7.0 | pH |
| Protein [Mass/volume] in Urine by Test strip | 443.0 H | 0 - 20 | 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 |
Specimen information
| Test | 18-AUG-2021 | Specimen | |
|---|---|---|---|
| Appearance of Urine | Cloudy urine | Urine | |
| Odor of Urine | Urine smell ammoniacal | Urine | |
| Clarity of Urine | Translucent | Urine | |
| Color of Urine | Brown color | Urine |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| The results indicate significant renal impairment (markedly elevated creatinine, proteinuria, low urine specific gravity), mild hypoglycemia, and mild transaminitis (elevated ALT). Urinalysis shows glucosuria, ketonuria, and proteinuria with brown, cloudy urine but no evidence of infection. These findings are suggestive of acute or chronic kidney disease, possibly with nephrotic-range proteinuria, and possible underlying metabolic disturbance (e.g., diabetes with poor glycemic control or ketoacidosis). Immediate clinical correlation and nephrology evaluation are recommended. |