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Laboratory Report

Patient
Name: Joubert, Patricia
DOB: 10-SEP-1939 (Age: 86)
Gender: female
Address:
7, chemin Lenoir
50570 Delahaye-la-Forêt (France)
ID: 7843-162355-8 (ECI)
Report
Date: 03-MAY-2017
Laboratory
dr Ample, Ex
Laboratoire Central Européenne
Boulevard du Jardin Botanique 32
1000 Brussels (Belgium)
Requested by
Maison Médical
(France)
Specimen
Collected: 03-MAY-2017

Chemistry

Test 03-MAY-2017 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 90.4 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 13.7 7 - 20 mg/dL
Creatinine [Mass/volume] in Serum or Plasma 1.8 H 0.6 - 1.3 mg/dL
Calcium [Mass/volume] in Serum or Plasma 9.9 8.6 - 10.3 mg/dL
Sodium [Moles/volume] in Serum or Plasma 143.7 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 4.4 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Serum or Plasma 104.9 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 3.2 L 4.0 - 5.6 %
Glucose [Mass/volume] in Blood 90.4 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Blood 13.7 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 1.1 0.6 - 1.3 mg/dL
Calcium [Mass/volume] in Blood 9.9 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 143.7 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.4 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 104.9 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 22.2 22 - 29 mmol/L

Urinalysis

Test 03-MAY-2017 Reference Range Unit
Glucose [Mass/volume] in Urine by Test strip 1.1 0 - 5 mg/dL
Glucose [Presence] in Urine by Test strip Urine glucose test = ++
Bilirubin.total [Mass/volume] in Urine by Test strip 0.8 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 12.1 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 6.1 5.0 - 8.0 pH
Protein [Mass/volume] in Urine by Test strip 160.6 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 03-MAY-2017 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
Renal function is mildly impaired (elevated serum creatinine). Urinalysis shows significant proteinuria, glycosuria, ketonuria, and abnormal appearance (cloudy, brown, ammoniacal), but no evidence of infection (negative nitrite/leukocytes). Low urine specific gravity suggests impaired concentrating ability. HbA1c is unexpectedly low despite glycosuria; consider possible analytical error or hemoglobinopathy. Findings suggest renal involvement, possibly diabetic nephropathy or acute tubular injury. Recommend clinical correlation and further nephrological evaluation.