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Laboratory Report
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Hematology
| Test | 19-JUN-2017 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 4.9 | 4 - 11 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 4.5 | 4.2 - 5.8 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 16.0 | 12 - 16 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 45.9 | 36 - 48 | % |
| MCV [Entitic volume] by Automated count | 84.9 | 78 - 98 | fL |
| MCH [Entitic mass] by Automated count | 32.2 | 27 - 34.5 | pg |
| MCHC [Mass/volume] by Automated count | 32.9 | 31.5 - 35.5 | g/dL |
| Erythrocyte distribution width [Ratio] by Automated count | 13.3 | 11.5 - 16 | % |
| Platelets [#/volume] in Blood by Automated count | 296.5 | 150 - 350 | 10*3/uL |
Chemistry
| Test | 19-JUN-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 83.3 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 16.7 | 7 - 25 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.8 H | 0.6 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 10.2 | 8.5 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 142.6 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.0 | 3.5 - 5.3 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 105.7 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 25.6 | 22 - 29 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 7.1 | 6 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 4.5 | 3.5 - 5.5 | g/dL |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 11.9 H | 0.3 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 46.4 | 35 - 270 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 30.6 | 7 - 60 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 38.4 | 10 - 40 | U/L |
| Magnesium [Mass/volume] in Serum or Plasma | 1.9 | 1.6 - 2.3 | mg/dL |
| Phosphate [Mass/volume] in Serum or Plasma | 2.8 | 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 | 42.5 | 38 - 48 | mm[Hg] |
| Oxygen [Partial pressure] in Arterial blood | 98.8 | 75 - 100 | mm[Hg] |
| Bicarbonate [Moles/volume] in Arterial blood | 25.4 | 22 - 31 | mmol/L |
| Oxygen saturation in Arterial blood | 94.0 L | 95 - 100 | % |
| Cholesterol [Mass/volume] in Serum or Plasma | 159.4 | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 126.3 | 0 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 79.3 | 0 - 130 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 54.9 | 50 - 100 | mg/dL |
Coagulation
| Test | 19-JUN-2017 | Reference Range | Unit |
|---|---|---|---|
| Prothrombin time (PT) | 11.3 | 11 - 15 | s |
| INR in Platelet poor plasma by Coagulation assay | 1.2 | 0.9 - 3 | {INR} |
| aPTT in Blood by Coagulation assay | 39.6 | 25 - 40 | s |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| Most parameters are within normal limits. However, there is marked hyperbilirubinemia (total bilirubin 11.9 mg/dL) and significantly elevated creatinine (2.8 mg/dL), indicating possible hepatic dysfunction and acute or chronic renal impairment. Critically low arterial pH (6.9) suggests severe acidemia, and oxygen saturation is slightly reduced. These findings are concerning for multi-organ dysfunction and require urgent clinical evaluation and intervention. |