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Laboratory Report

Patient
Name: Nohlmans, , Maria,
DOB: 11-JUN-1947 (Age: 78)
Gender: female
Address:
Alfons-Wulff-Weg 1
25813 Husum (Germany)
ID: 6886-506417-1 (ECI)
Report
Date: 29-MAY-2018
Laboratory
dr Ample, Ex
Laboratoire Central Européenne
Boulevard du Jardin Botanique 32
1000 Brussels (Belgium)
Requested by
Dr. Wolfram Hussels Kieferorthopäde
Brinckmannstraße 35
25813 Husum (Germany)
Specimen
Collected: 29-MAY-2018

Chemistry

Test 29-MAY-2018 Reference Range Unit
Glucose [Mass/volume] in Blood 69.5 L 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Blood 15.2 7 - 30 mg/dL
Creatinine [Mass/volume] in Blood 3.4 H 0.5 - 1.3 mg/dL
Calcium [Mass/volume] in Blood 9.5 8.6 - 10.2 mg/dL
Sodium [Moles/volume] in Blood 140.4 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 4.2 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 103.1 98 - 114 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 28.1 22 - 32 mmol/L
Protein [Mass/volume] in Serum or Plasma 7.7 6 - 8.3 g/dL
Albumin [Mass/volume] in Serum or Plasma 4.7 3.5 - 5.5 g/dL
Globulin [Mass/volume] in Serum by calculation 3.2 2 - 3.5 g/L
Bilirubin.total [Mass/volume] in Serum or Plasma 0.9 0.3 - 1.2 mg/dL
Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 41.9 L 44 - 142 U/L
Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma 40.0 7 - 40 U/L
Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma 25.1 10 - 40 U/L
Ketones [Presence] in Urine by Test strip Urine ketone test = +++

Urinalysis

Test 29-MAY-2018 Reference Range Unit
Glucose [Mass/volume] in Urine by Test strip 2.4 H 0.8 - 0 mg/dL
Glucose [Presence] in Urine by Test strip ++
Bilirubin.total [Mass/volume] in Urine by Test strip 0.2 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 17.7 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 6.3 4.6 - 7.5 pH
Protein [Mass/volume] in Urine by Test strip 282.6 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 29-MAY-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
The patient shows significant renal impairment (elevated creatinine, marked proteinuria), mild hypoglycemia, and abnormal urine findings (glucosuria, ketonuria, proteinuria, low specific gravity, brown color, ammoniacal odor). Liver and electrolyte parameters are within normal limits. Findings suggest possible acute or chronic kidney dysfunction, likely with nephrotic-range proteinuria and possible glycemic dysregulation. Recommend urgent clinical evaluation and nephrology consultation.