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Laboratory Report
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Chemistry
| Test | 31-MAY-2024 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 78.2 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 14.2 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.0 H | 0.9 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 8.7 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 137.9 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.9 | 3.5 - 5.3 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 104.7 | 98 - 107 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 25.0 | 22 - 33 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = ++ | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 2.9 L | 4.3 - 6 | % |
| Glucose [Mass/volume] in Blood | 78.2 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 14.2 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 4.4 H | 0.9 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 8.7 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 137.9 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.9 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 104.7 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 25.0 | 22 - 29 | mmol/L |
Urinalysis
| Test | 31-MAY-2024 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 1.8 H | 0 - 0.8 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 1.4 | 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 | 14.6 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 | 5.0 | 4.5 - 7.5 | pH |
| Protein [Mass/volume] in Urine by Test strip | 241.8 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 |
Specimen information
| Test | 31-MAY-2024 | 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 significantly elevated creatinine, indicating impaired renal function, and marked proteinuria, glycosuria, and ketonuria, suggesting possible nephropathy and metabolic derangement. Urine is dilute (low specific gravity), brown, and cloudy, but without evidence of infection. HbA1c is unexpectedly low, possibly due to anemia or recent changes in glycemic control. Findings are consistent with acute or chronic kidney disease with metabolic complications; prompt clinical correlation and further nephrological evaluation are recommended. |