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Laboratory Report

Patient
Name: Hayward, Tom
DOB: 07-APR-1975 (Age: 50)
Gender: male
Address:
391 Dean locks
M1 Manchester (United Kingdom)
ID: 3376-612163-7 (ECI)
Report
Date: 25-JAN-2024
Laboratory
dr Ample, Ex
Laboratoire Central Européenne
Boulevard du Jardin Botanique 32
1000 Brussels (Belgium)
Requested by
Cornbrook Medical Practice
City Road 204
M3 3 Manchester (United Kingdom)
Specimen
Collected: 25-JAN-2024

Chemistry

Test 25-JAN-2024 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 66.2 L 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 8.8 7 - 20 mg/dL
Creatinine [Mass/volume] in Serum or Plasma 2.3 H 0.6 - 1.2 mg/dL
Calcium [Mass/volume] in Serum or Plasma 9.9 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Serum or Plasma 140.0 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 4.7 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Serum or Plasma 110.1 H 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma 26.0 22 - 32 mmol/L
Ketones [Presence] in Urine by Test strip Urine ketone test negative
Hemoglobin A1c/Hemoglobin.total in Blood 3.3 L 4.0 - 5.6 %
Glucose [Mass/volume] in Blood 66.2 L 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Blood 8.8 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 9.4 H 0.6 - 1.2 mg/dL
Calcium [Mass/volume] in Blood 9.9 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 140.0 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.7 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 110.1 H 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 26.0 22 - 29 mmol/L
Cholesterol [Mass/volume] in Serum or Plasma 151.3 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 143.5 0 - 150 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 74.1 0 - 100 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 48.5 40 - 60 mg/dL
Microalbumin/Creatinine [Mass Ratio] in Urine 513.9 H 0 - 30 mg/g

Urinalysis

Test 25-JAN-2024 Reference Range Unit
Glucose [Mass/volume] in Urine by Test strip 1.0 0 - 5 mg/dL
Glucose [Presence] in Urine by Test strip Urine glucose test = ++
Bilirubin.total [Mass/volume] in Urine by Test strip 0.3 0 - 1 mg/dL
Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip 9.3 0 - 20 mg/dL
Specific gravity of Urine by Test strip 1.0 L 1.005 - 1.030 {nominal}
pH of Urine by Test strip 6.4 5.0 - 8.0 pH
Protein [Mass/volume] in Urine by Test strip 368.7 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 25-JAN-2024 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
The patient shows significant renal impairment (markedly elevated creatinine, proteinuria, and microalbuminuria), hypoglycemia with low HbA1c, and abnormal urine findings (cloudy, brown, low specific gravity, protein, glucose, ketones, bilirubin). These findings suggest possible advanced diabetic nephropathy or another chronic kidney disease with poor glycemic control and possible tubular dysfunction. Immediate nephrology and endocrinology evaluation is recommended.