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Laboratory Report
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Hematology
| Test | 04-AUG-2024 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 9.7 | 4.5 - 11.0 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 4.6 | 4.3 - 5.7 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 11.3 L | 13.5 - 17.5 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 34.9 L | 39 - 50 | % |
| MCV [Entitic mean volume] in Red Blood Cells by Automated count | 87.7 | 80 - 100 | fL |
| MCH [Entitic mass] by Automated count | 27.9 | 27 - 33 | pg |
| MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count | 33.3 | 32 - 36 | g/dL |
| Erythrocyte [DistWidth] in Blood by Automated count | 14.4 | 11.5 - 14.5 | % |
| Platelets [#/volume] in Blood by Automated count | 427.6 | 150 - 450 | 10*3/uL |
Chemistry
| Test | 04-AUG-2024 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 98.1 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 18.5 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.8 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.0 | 8.6 - 10.3 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 136.8 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 3.8 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 108.6 H | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 22.5 | 22 - 29 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 7.7 | 6.6 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 4.3 | 3.5 - 5.5 | g/dL |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 11.5 H | 0.1 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 82.8 | 30 - 120 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 9.8 L | 10 - 40 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 19.1 | 10 - 40 | U/L |
| Magnesium [Mass/volume] in Serum or Plasma | 1.8 | 1.6 - 2.6 | mg/dL |
| Phosphate [Mass/volume] in Serum or Plasma | 3.7 | 2.5 - 4.5 | mg/dL |
| pH of Arterial blood | 6.8 L | 7.35 - 7.45 | [pH] |
| Carbon dioxide [Partial pressure] in Arterial blood | 43.8 | 35 - 45 | mm[Hg] |
| Oxygen [Partial pressure] in Arterial blood | 83.3 | 80 - 100 | mm[Hg] |
| Bicarbonate [Moles/volume] in Arterial blood | 25.0 | 22 - 28 | mmol/L |
| Oxygen saturation in Arterial blood | 97.0 | 95 - 100 | % |
| Cholesterol [Mass/volume] in Serum or Plasma | 160.6 | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 138.6 | 0 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 80.3 | 0 - 100 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 52.5 | 40 - 60 | mg/dL |
Coagulation
| Test | 04-AUG-2024 | Reference Range | Unit |
|---|---|---|---|
| Prothrombin time (PT) | 11.8 | 11.0 - 13.5 | s |
| INR in Platelet poor plasma by Coagulation assay | 1.0 | 0.9 - 1.1 | {INR} |
| aPTT in Blood by Coagulation assay | 39.4 H | 24 - 32 | s |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| The patient shows normocytic, normochromic anemia, markedly elevated creatinine (suggesting significant renal impairment), severe hyperbilirubinemia, prolonged aPTT, and severe metabolic acidosis (arterial pH 6.8). Chloride is mildly elevated. Liver enzymes are not elevated, but ALT is slightly low. These findings indicate acute or chronic renal failure with severe acidosis and possible coagulopathy and hyperbilirubinemia; urgent clinical evaluation is recommended. |