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Laboratory Report
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Hematology
| Test | 28-MAR-2019 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 4.2 | 4.0 - 11.0 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 4.8 | 4.2 - 5.6 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 15.3 | 13.5 - 17.5 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 38.6 | 37 - 49 | % |
| MCV [Entitic mean volume] in Red Blood Cells by Automated count | 92.3 | 80 - 100 | fL |
| MCH [Entitic mass] by Automated count | 31.1 | 27 - 33 | pg |
| MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count | 31.7 L | 32 - 36 | g/dL |
| Erythrocyte [DistWidth] in Blood by Automated count | 15.3 | 11.5 - 16.5 | % |
| Platelets [#/volume] in Blood by Automated count | 287.3 | 150 - 450 | 10*3/uL |
Chemistry
| Test | 28-MAR-2019 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 66.8 L | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 9.7 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.8 H | 0.6 - 1.2 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.7 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 143.6 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 5.0 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 105.3 | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 26.9 | 22 - 32 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 6.9 | 6.0 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 4.9 | 3.5 - 5.5 | g/dL |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 10.1 H | 0.3 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 112.4 | 39 - 117 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 35.2 | 10 - 40 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 21.0 | 10 - 40 | U/L |
| Magnesium [Mass/volume] in Serum or Plasma | 2.0 | 1.7 - 2.3 | mg/dL |
| Phosphate [Mass/volume] in Serum or Plasma | 4.0 | 2.5 - 4.5 | mg/dL |
| pH of Arterial blood | 6.9 L | 7.35 - 7.45 | [pH] |
| Carbon dioxide [Partial pressure] in Arterial blood | 35.9 | 35 - 45 | mm[Hg] |
| Oxygen [Partial pressure] in Arterial blood | 85.5 | 75 - 100 | mm[Hg] |
| Bicarbonate [Moles/volume] in Arterial blood | 25.4 | 22 - 28 | mmol/L |
| Oxygen saturation in Arterial blood | 95.0 | 95.0 - 100.0 | % |
| Cholesterol [Mass/volume] in Serum or Plasma | 216.1 H | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 142.6 | 0 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 132.9 H | 0 - 100 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 54.7 | 40 - 60 | mg/dL |
| Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method | 0.0 | 0 - 34 | pg/mL |
| Thyrotropin [Units/volume] in Serum or Plasma | 2.3 | 0.4 - 4.0 | m[IU]/L |
| Hemoglobin A1c/Hemoglobin.total in Blood | 3.3 L | 4.0 - 5.6 | % |
| Ketones [Presence] in Urine by Test strip | 1.0 H | 0 - 0 | {presence} |
Coagulation
| Test | 28-MAR-2019 | Reference Range | Unit |
|---|---|---|---|
| Prothrombin time (PT) | 9.1 L | 9.4 - 12.5 | s |
| INR in Platelet poor plasma by Coagulation assay | 1.1 | 0.9 - 1.1 | {INR} |
| aPTT in Blood by Coagulation assay | 29.9 | 25 - 35 | s |
Urinalysis
| Test | 28-MAR-2019 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Presence] in Urine by Test strip | 1.0 | {presence} | |
| Bilirubin.total [Presence] in Urine by Test strip | 1.0 | 0 - 1 | {presence} |
| Specific gravity of Urine by Test strip | 1.0 L | 1.005 - 1.030 | {SG} |
| pH of Urine by Test strip | 7.5 | 4.5 - 8.0 | [pH] |
| Protein [Presence] in Urine by Test strip | 1.0 | {presence} | |
| Nitrite [Presence] in Urine by Test strip | 1.0 | {presence} | |
| Hemoglobin [Presence] in Urine by Test strip | 0.0 | {presence} | |
| Leukocyte esterase [Presence] in Urine by Test strip | 0.0 | {presence} |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| The patient shows severe metabolic acidosis (arterial pH 6.9), markedly elevated creatinine (2.8 mg/dL), very high total bilirubin (10.1 mg/dL), and abnormal urine findings (protein, nitrite, ketones, glucose). These suggest acute kidney and liver dysfunction, possible sepsis, and metabolic decompensation. Immediate clinical evaluation and intervention are urgently recommended. |