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Laboratory Report
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Chemistry
| Test | 30-MAR-2023 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 88.6 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 16.8 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.4 H | 0.6 - 1.2 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.2 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 138.8 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.5 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 108.8 H | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 23.4 | 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 | 88.6 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 16.8 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 13.4 H | 0.6 - 1.2 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.2 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 138.8 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.5 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 108.8 H | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 23.4 | 22 - 29 | mmol/L |
| Cholesterol [Mass/volume] in Serum or Plasma | 165.3 | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 144.5 | 0 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 76.5 | 0 - 100 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 59.9 | 40 - 60 | mg/dL |
| Microalbumin/Creatinine [Mass Ratio] in Urine | 395.2 H | 0 - 30 | mg/g |
Urinalysis
| Test | 30-MAR-2023 | 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 | 0.9 | 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 | 7.7 | 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 | 6.6 | 5.0 - 8.0 | pH |
| Protein [Mass/volume] in Urine by Test strip | 333.1 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 | 30-MAR-2023 | 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 markedly elevated creatinine in both serum and blood, indicating significant renal impairment. Urinalysis reveals heavy proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine appearance, suggesting nephrotic-range proteinuria and possible tubular dysfunction. Microalbumin/creatinine ratio is highly elevated. HbA1c is low, excluding chronic hyperglycemia. Findings are consistent with acute or chronic kidney disease with nephrotic syndrome features; urgent nephrology evaluation is recommended. |