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Laboratory Report
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Chemistry
| Test | 16-JUL-2020 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 81.5 | 70 - 139 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 11.7 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.1 H | 0.6 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.1 | 8.5 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 142.5 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.3 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 105.7 | 98 - 110 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 27.1 | 22 - 32 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = + | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 3.1 L | 4 - 6 | % |
| Glucose [Mass/volume] in Blood | 81.5 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 11.7 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 1.6 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.1 | 8.6 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Blood | 142.5 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.3 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 105.7 | 98 - 110 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 27.1 | 22 - 29 | mmol/L |
Urinalysis
| Test | 16-JUL-2020 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 1.3 H | 0 - 0 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 0.4 | 0 - 1.6 | mg/dL |
| Bilirubin.total [Presence] in Urine by Test strip | Finding of bilirubin in urine | ||
| Ketones [Mass/volume] in Urine by Test strip | 5.2 H | 0 - 0.5 | mg/dL |
| Specific gravity of Urine by Test strip | 1.0 L | 1.005 - 1.03 | {nominal} |
| pH of Urine by Test strip | 5.9 | 4.5 - 7.5 | pH |
| Protein [Mass/volume] in Urine by Test strip | 269.6 H | 0 - 15 | 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 | 16-JUL-2020 | 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 elevated creatinine, significant proteinuria, glycosuria, and ketonuria, with low urine specific gravity and low HbA1c. These findings suggest impaired renal function, likely chronic kidney disease, and possible tubular dysfunction. The presence of glucose and ketones in urine with normal blood glucose and low HbA1c may indicate renal glycosuria and ketonuria rather than diabetes. Urine abnormalities (cloudy, brown) warrant further nephrological evaluation and assessment for possible underlying renal pathology. |