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Laboratory Report
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Hematology
| Test | 29-AUG-2021 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 4.3 | 4.0 - 11.0 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 5.0 | 4.2 - 5.9 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 13.4 L | 13.5 - 17.5 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 47.5 | 39 - 50 | % |
| MCV [Entitic mean volume] in Red Blood Cells by Automated count | 92.3 | 80 - 100 | fL |
| MCH [Entitic mass] by Automated count | 28.4 | 27 - 33 | pg |
| MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count | 35.2 | 32 - 36 | g/dL |
| Erythrocyte distribution width [Entitic volume] by Automated count | 45.3 | 36 - 48 | fL |
| Platelets [#/volume] in Blood by Automated count | 231.8 | 150 - 450 | 10*3/uL |
| Platelet distribution width [Entitic volume] in Blood by Automated count | 163.7 H | 9.4 - 12.3 | fL |
| Platelet [Entitic mean volume] in Blood by Automated count | 10.1 | 6.4 - 11.2 | fL |
Chemistry
| Test | 29-AUG-2021 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 95.9 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 19.0 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 1.9 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.2 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 141.6 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.9 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 106.9 | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 22.2 | 22 - 29 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = + | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 2.9 L | 4.0 - 5.6 | % |
| Glucose [Mass/volume] in Blood | 95.9 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 19.0 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 2.6 H | 0.7 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.2 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 141.6 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.9 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 106.9 | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 22.2 | 22 - 29 | mmol/L |
Urinalysis
| Test | 29-AUG-2021 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 0.8 | 0 - 0.8 | mg/dL |
| Glucose [Presence] in Urine by Test strip | Urine glucose test = ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 0.4 | 0.0 - 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 | 16.6 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 | 6.5 | 4.5 - 8.0 | pH |
| Protein [Mass/volume] in Urine by Test strip | 295.9 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 | 29-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 patient shows elevated creatinine, proteinuria, and ketonuria, suggesting impaired renal function with possible nephrotic-range proteinuria and metabolic stress. Urine is cloudy, brown, and has abnormal odor, but no evidence of infection. Low urine specific gravity may indicate impaired concentrating ability. Hemoglobin is slightly low. HbA1c is unexpectedly low despite normal glucose, possibly due to anemia or recent blood loss. Recommend further nephrological evaluation and assessment for underlying causes of renal impairment and proteinuria. |