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| Test | 20-OCT-2023 | Reference Range | Unit | 
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 98.8 | 70 - 140 | mg/dL | 
| Urea nitrogen [Mass/volume] in Serum or Plasma | 16.9 | 7 - 20 | mg/dL | 
| Creatinine [Mass/volume] in Serum or Plasma | 2.1 H | 0.9 - 1.3 | mg/dL | 
| Calcium [Mass/volume] in Serum or Plasma | 10.0 | 8.5 - 10.5 | mg/dL | 
| Sodium [Moles/volume] in Serum or Plasma | 143.8 | 135 - 145 | mmol/L | 
| Potassium [Moles/volume] in Serum or Plasma | 5.0 | 3.5 - 5.3 | mmol/L | 
| Chloride [Moles/volume] in Serum or Plasma | 107.1 H | 98 - 107 | mmol/L | 
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 23.0 | 22 - 33 | mmol/L | 
| Ketones [Presence] in Urine by Test strip | Urine ketone test = ++ | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 3.0 L | 4.3 - 6 | % | 
| Glucose [Mass/volume] in Blood | 98.8 | 70 - 140 | mg/dL | 
| Urea nitrogen [Mass/volume] in Blood | 16.9 | 7 - 20 | mg/dL | 
| Creatinine [Mass/volume] in Blood | 3.3 H | 0.9 - 1.3 | mg/dL | 
| Calcium [Mass/volume] in Blood | 10.0 | 8.5 - 10.5 | mg/dL | 
| Sodium [Moles/volume] in Blood | 143.8 | 135 - 145 | mmol/L | 
| Potassium [Moles/volume] in Blood | 5.0 | 3.5 - 5.1 | mmol/L | 
| Chloride [Moles/volume] in Blood | 107.1 | 98 - 108 | mmol/L | 
| Carbon dioxide, total [Moles/volume] in Blood | 23.0 | 22 - 29 | mmol/L | 
| Test | 20-OCT-2023 | Reference Range | Unit | 
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 1.0 H | 0 - 0.8 | mg/dL | 
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 0.9 | 0 - 1.9 | mg/dL | 
| Bilirubin.total [Presence] in Urine by Test strip | Finding of bilirubin in urine | ||
| Ketones [Mass/volume] in Urine by Test strip | 9.1 H | 0 - 3 | mg/dL | 
| Specific gravity of Urine by Test strip | 1.0 L | 1.01 - 1.03 | {nominal} | 
| pH of Urine by Test strip | 5.7 | 4.5 - 7.5 | pH | 
| Protein [Mass/volume] in Urine by Test strip | 308.6 H | 0 - 149 | 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 | 
| Test | 20-OCT-2023 | 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 | 
| Conclusion and Recommendations based on this report and previous findings known to us | 
|---|
| The patient shows elevated creatinine, proteinuria, glycosuria, and ketonuria, suggesting significant renal impairment and possible diabetic or metabolic derangement, despite a low HbA1c. Urine is dilute, cloudy, brown, and ammoniacal, but no evidence of infection (negative nitrites/leukocytes). Further evaluation of renal function, diabetes status, and possible acute or chronic kidney disease is recommended. |