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Laboratory Report
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Hematology
| Test | 13-MAY-2019 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 7.4 | 4.0 - 11.0 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 4.1 L | 4.2 - 5.6 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 15.6 | 13.5 - 17.5 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 34.6 L | 37 - 49 | % |
| MCV [Entitic mean volume] in Red Blood Cells by Automated count | 91.7 | 80 - 100 | fL |
| MCH [Entitic mass] by Automated count | 30.7 | 27 - 33 | pg |
| MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count | 31.5 L | 32 - 36 | g/dL |
| Erythrocyte [DistWidth] in Blood by Automated count | 14.0 | 11.5 - 16.5 | % |
| Platelets [#/volume] in Blood by Automated count | 268.9 | 150 - 450 | 10*3/uL |
Chemistry
| Test | 13-MAY-2019 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 97.4 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 7.1 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.9 H | 0.6 - 1.2 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 10.1 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 139.6 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 5.2 H | 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 | 23.3 | 22 - 32 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 7.2 | 6.0 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 4.6 | 3.5 - 5.5 | g/dL |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 14.8 H | 0.3 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 47.8 | 39 - 117 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 14.1 | 10 - 40 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 26.8 | 10 - 40 | U/L |
| Magnesium [Mass/volume] in Serum or Plasma | 2.1 | 1.7 - 2.3 | mg/dL |
| Phosphate [Mass/volume] in Serum or Plasma | 3.2 | 2.5 - 4.5 | mg/dL |
| pH of Arterial blood | 7.2 L | 7.35 - 7.45 | [pH] |
| Carbon dioxide [Partial pressure] in Arterial blood | 44.5 | 35 - 45 | mm[Hg] |
| Oxygen [Partial pressure] in Arterial blood | 85.8 | 75 - 100 | mm[Hg] |
| Bicarbonate [Moles/volume] in Arterial blood | 26.5 | 22 - 28 | mmol/L |
| Oxygen saturation in Arterial blood | 91.0 L | 95.0 - 100.0 | % |
| Cholesterol [Mass/volume] in Serum or Plasma | 205.4 H | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 107.3 | 0 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 123.9 H | 0 - 100 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 60.0 | 40 - 60 | mg/dL |
Coagulation
| Test | 13-MAY-2019 | Reference Range | Unit |
|---|---|---|---|
| Prothrombin time (PT) | 12.0 | 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 | 37.7 H | 25 - 35 | s |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| The patient shows mild normocytic, hypochromic anemia and evidence of significant renal dysfunction (elevated creatinine, mild hyperkalemia, metabolic acidosis, and prolonged aPTT). There is marked hyperbilirubinemia with normal liver enzymes, suggesting possible hemolysis or impaired bilirubin excretion. Additionally, dyslipidemia is present (elevated total and LDL cholesterol). Recommend urgent nephrology evaluation and further workup for hyperbilirubinemia. |