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Laboratory Report
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Chemistry
| Test | 11-APR-2018 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 90.1 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 7.7 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.5 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 10.1 | 8.6 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 141.9 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.4 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 102.9 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 25.0 | 22 - 32 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = +++ | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 3.1 L | 4.5 - 6.4 | % |
| Glucose [Mass/volume] in Blood | 90.1 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 7.7 | 7 - 30 | mg/dL |
| Creatinine [Mass/volume] in Blood | 25.3 H | 0.5 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 10.1 | 8.6 - 10.2 | mg/dL |
| Sodium [Moles/volume] in Blood | 141.9 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.4 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 102.9 | 98 - 114 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 25.0 | 22 - 32 | mmol/L |
| Cholesterol [Mass/volume] in Serum or Plasma | 146.0 | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 112.5 | 35 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 72.0 | 0 - 130 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 51.5 | 50 - 120 | mg/dL |
Urinalysis
| Test | 11-APR-2018 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 1.3 H | 0.8 - 0 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 1.5 | 0 - 1.5 | mg/dL |
| Bilirubin.total [Presence] in Urine by Test strip | Finding of bilirubin in urine | ||
| Ketones [Mass/volume] in Urine by Test strip | 16.3 H | 0 - 8 | mg/dL |
| Specific gravity of Urine by Test strip | 1.0 L | 1.01 - 1.03 | {nominal} |
| pH of Urine by Test strip | 5.0 | 4.6 - 7.5 | pH |
| Protein [Mass/volume] in Urine by Test strip | 310.3 H | 0 - 14 | 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 | 11-APR-2018 | 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 |
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| The patient shows markedly elevated creatinine, indicating significant renal impairment, and severe proteinuria with low urine specific gravity, suggesting nephrotic syndrome or advanced kidney disease. Urine findings (cloudy, brown, ammoniacal odor) may indicate urinary tract pathology. High urine ketones and glucose, with low HbA1c, are unusual and may reflect acute metabolic disturbance. Immediate nephrology evaluation is recommended. |