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Laboratory Report
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Hematology
| Test | 22-MAY-2017 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 6.7 | 4 - 11 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 5.3 | 3.8 - 5.7 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 14.7 | 12 - 16 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 36.0 L | 38 - 56 | % |
| MCV [Entitic volume] by Automated count | 83.8 | 78 - 98 | fL |
| MCH [Entitic mass] by Automated count | 31.1 | 27 - 34 | pg |
| MCHC [Mass/volume] by Automated count | 35.2 H | 32 - 35 | g/dL |
| Erythrocyte distribution width [Ratio] by Automated count | 14.8 | 11.6 - 16.5 | % |
| Platelets [#/volume] in Blood by Automated count | 406.2 | 157 - 415 | 10*3/uL |
Chemistry
| Test | 22-MAY-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 71.5 | 70 - 99 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 7.8 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.6 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.7 | 8.5 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 136.6 | 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 | 105.0 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 23.3 | 22 - 32 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 7.5 | 6 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 4.3 | 3.5 - 5 | g/dL |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 10.7 H | 0.3 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 49.2 | 32 - 150 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 8.1 L | 13 - 32 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 18.2 | 10 - 40 | U/L |
| Magnesium [Mass/volume] in Serum or Plasma | 2.1 | 1.7 - 2.6 | mg/dL |
| Phosphate [Mass/volume] in Serum or Plasma | 3.3 | 2.5 - 4.5 | mg/dL |
| pH of Arterial blood | 6.9 L | 7.35 - 7.45 | [pH] |
| Carbon dioxide [Partial pressure] in Arterial blood | 44.9 | 38 - 48 | mm[Hg] |
| Oxygen [Partial pressure] in Arterial blood | 89.9 | 75 - 100 | mm[Hg] |
| Bicarbonate [Moles/volume] in Arterial blood | 26.6 | 22 - 31 | mmol/L |
| Oxygen saturation in Arterial blood | 94.0 L | 95 - 100 | % |
| Cholesterol [Mass/volume] in Serum or Plasma | 299.5 H | 130 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 140.8 | 0 - 199 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 210.5 H | 0 - 130 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 60.9 | 50 - 100 | mg/dL |
Coagulation
| Test | 22-MAY-2017 | Reference Range | Unit |
|---|---|---|---|
| Prothrombin time (PT) | 11.5 | 11 - 15 | s |
| INR in Platelet poor plasma by Coagulation assay | 0.9 | 0.9 - 1.1 | {INR} |
| aPTT in Blood by Coagulation assay | 33.2 | 25 - 35 | s |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| The patient shows severe metabolic acidosis (pH 6.9), markedly elevated creatinine indicating significant renal dysfunction, and very high total and LDL cholesterol. There is also marked hyperbilirubinemia, mild anemia (low hematocrit), and mild hyperconcentration of hemoglobin. Oxygen saturation is slightly reduced. These findings suggest acute or chronic renal failure with metabolic acidosis, possible liver dysfunction, and high cardiovascular risk. Immediate clinical evaluation is recommended. |