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Laboratory Report
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Hematology
| Test | 08-MAR-2021 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 3.2 L | 4.0 - 11.0 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 5.2 | 4.3 - 5.7 | 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 | 45.8 | 37 - 49 | % |
| MCV [Entitic mean volume] in Red Blood Cells by Automated count | 86.6 | 80 - 100 | fL |
| MCH [Entitic mass] by Automated count | 31.7 | 27 - 33 | pg |
| MCHC [Entitic Mass/volume] in Red Blood Cells by Automated count | 35.5 | 32 - 36 | g/dL |
| Erythrocyte [DistWidth] in Blood by Automated count | 13.9 | 11.5 - 14.5 | % |
| Platelets [#/volume] in Blood by Automated count | 126.9 L | 150 - 450 | 10*3/uL |
| Neutrophils/100 leukocytes in Blood by Automated count | 27.3 L | 40 - 74 | % |
| Lymphocytes/100 leukocytes in Blood by Automated count | 19.0 L | 20 - 40 | % |
| Monocytes/100 leukocytes in Blood by Automated count | 13.8 H | 2 - 10 | % |
| Eosinophils/100 leukocytes in Blood by Automated count | 5.4 | 0 - 6 | % |
| Basophils/100 leukocytes in Blood by Automated count | 3.5 H | 0.5 - 1.0 | % |
| Neutrophils [#/volume] in Blood by Automated count | 2.7 | 1.8 - 7.8 | 10*3/uL |
| Lymphocytes [#/volume] in Blood by Automated count | 1.1 | 1.0 - 3.4 | 10*3/uL |
| Monocytes [#/volume] in Blood by Automated count | 1.2 H | 0.2 - 0.8 | 10*3/uL |
| Eosinophils [#/volume] in Blood by Automated count | 0.6 H | 0.0 - 0.5 | 10*3/uL |
| Basophils [#/volume] in Blood by Automated count | 0.3 H | 0.0 - 0.2 | 10*3/uL |
Chemistry
| Test | 08-MAR-2021 | Reference Range | Unit |
|---|---|---|---|
| Oxygen saturation in Arterial blood | 82.3 L | 95 - 100 | % |
| Glucose [Mass/volume] in Serum or Plasma | 73.3 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 7.4 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 3.0 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.2 | 8.6 - 10.3 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 140.9 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.2 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 105.3 | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 24.1 | 22 - 29 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 5.9 L | 6.6 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 4.5 | 3.5 - 5.5 | g/dL |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 12.8 H | 0.2 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 95.8 | 30 - 120 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 14.7 | 10 - 40 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 36.4 | 10 - 40 | U/L |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| The patient shows marked hypoxemia, leukopenia, neutropenia, lymphopenia, thrombocytopenia, mild anemia, and elevated monocytes, eosinophils, and basophils. There is severe hyperbilirubinemia, hypoalbuminemia, and significantly elevated creatinine, suggesting acute or chronic renal dysfunction and possible hepatic dysfunction or hemolysis. The findings are concerning for multi-organ involvement, including bone marrow suppression, renal and hepatic impairment. Immediate clinical correlation and further diagnostic workup are strongly recommended. |