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Laboratory Report

Patient
Name: Hayward, Tom
DOB: 07-APR-1975 (Age: 50)
Gender: male
Address:
391 Dean locks
M1 Manchester (United Kingdom)
ID: 3376-612163-7 (ECI)
Report
Date: 23-NOV-2017
Laboratory
dr Ample, Ex
Laboratoire Central Européenne
Boulevard du Jardin Botanique 32
1000 Brussels (Belgium)
Requested by
Cornbrook Medical Practice
City Road 204
M3 3 Manchester (United Kingdom)
Specimen
Collected: 23-NOV-2017

Chemistry

Test 23-NOV-2017 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 73.8 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 7.9 7 - 20 mg/dL
Creatinine [Mass/volume] in Serum or Plasma 2.0 H 0.6 - 1.2 mg/dL
Calcium [Mass/volume] in Serum or Plasma 8.8 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Serum or Plasma 138.0 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 4.3 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Serum or Plasma 108.5 H 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma 27.6 22 - 32 mmol/L
Ketones [Presence] in Urine by Test strip Urine ketone test = +
Hemoglobin A1c/Hemoglobin.total in Blood 3.3 L 4.0 - 5.6 %
Cholesterol [Mass/volume] in Serum or Plasma 264.8 H 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 235.2 H 0 - 150 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 124.1 H 0 - 100 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 59.5 40 - 60 mg/dL
Glucose [Mass/volume] in Blood 73.8 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Blood 7.9 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 2.8 H 0.6 - 1.2 mg/dL
Calcium [Mass/volume] in Blood 8.8 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 138.0 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.3 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 108.5 H 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 27.6 22 - 29 mmol/L
Protein [Mass/volume] in Serum or Plasma 7.7 6.0 - 8.3 g/dL
Albumin [Mass/volume] in Serum or Plasma 5.2 3.5 - 5.5 g/dL
Globulin [Mass/volume] in Serum by calculation 2.8 L 20 - 39 g/L
Bilirubin.total [Mass/volume] in Serum or Plasma 1.1 0.3 - 1.2 mg/dL
Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 100.5 39 - 117 U/L
Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma 46.8 H 10 - 40 U/L
Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma 35.7 10 - 40 U/L
Glucose [Mass/volume] in Blood 73.8 70 - 100 mg/dL
Urea nitrogen [Mass/volume] in Blood 7.9 7 - 20 mg/dL
Creatinine [Mass/volume] in Blood 3.2 H 0.6 - 1.2 mg/dL
Calcium [Mass/volume] in Blood 8.8 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Blood 138.0 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.3 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 108.5 H 98 - 107 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 27.6 22 - 29 mmol/L
Cholesterol [Mass/volume] in Serum or Plasma 213.7 H 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 113.4 0 - 150 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 142.7 H 0 - 100 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 48.3 40 - 60 mg/dL
Microalbumin/Creatinine [Mass Ratio] in Urine 24.8 0 - 30 mg/g

Urinalysis

Test 23-NOV-2017 Reference Range Unit
Glucose [Mass/volume] in Urine by Test strip 0.9 0 - 5 mg/dL
Glucose [Presence] in Urine by Test strip Urine glucose test = ++
Bilirubin.total [Mass/volume] in Urine by Test strip 1.5 H 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 17.4 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 5.0 5.0 - 8.0 pH
Protein [Mass/volume] in Urine by Test strip 260.7 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 23-NOV-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
The patient shows significantly elevated creatinine, proteinuria, and abnormal urine findings (cloudy, brown, low specific gravity, bilirubin, ketones), suggesting impaired renal function and possible nephrotic syndrome or glomerular disease. Dyslipidemia (high cholesterol, LDL, triglycerides) and mildly elevated liver enzymes are present. HbA1c is low, excluding diabetes. Recommend urgent nephrology evaluation for renal dysfunction and further assessment of possible underlying causes.