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Laboratory Report

Patient
Name: Vávrová, , Ludmila,
DOB: 08-AUG-1940 (Age: 85)
Gender: female
Address:
Šárovo Kolo 116
29471 Bakov nad Jizerou (Czechia)
ID: 1992-540676-1 (ECI)
Report
Date: 06-NOV-2016
Laboratory
dr Ample, Ex
Laboratoire Central Européenne
Boulevard du Jardin Botanique 32
1000 Brussels (Belgium)
Requested by
Psychiatrická nemocnice Kosmonosy
293 06 Kosmonosy (Czechia)
Specimen
Collected: 06-NOV-2016

Hematology

Test 06-NOV-2016 Reference Range Unit
Leukocytes [#/volume] in Blood by Automated count 4.5 3.4 - 10.6 10*3/uL
Erythrocytes [#/volume] in Blood by Automated count 3.9 L 4.7 - 5.2 10*6/uL
Hemoglobin [Mass/volume] in Blood 12.2 11.5 - 16 g/dL
Hematocrit [Volume Fraction] of Blood by Automated count 37.2 L 38 - 56 %
MCV [Entitic volume] by Automated count 91.0 78 - 98 fL
MCH [Entitic mass] by Automated count 32.6 27 - 34 pg
MCHC [Mass/volume] by Automated count 31.8 31 - 36 g/dL
Erythrocyte distribution width [Ratio] by Automated count 12.3 11.6 - 16.5 %
Platelets [#/volume] in Blood by Automated count 263.8 150 - 450 10*3/uL

Chemistry

Test 06-NOV-2016 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 90.6 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 14.7 7 - 25 mg/dL
Creatinine [Mass/volume] in Serum or Plasma 2.7 H 0.6 - 1.3 mg/dL
Calcium [Mass/volume] in Serum or Plasma 9.6 8.6 - 10.4 mg/dL
Sodium [Moles/volume] in Serum or Plasma 139.2 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 4.0 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Serum or Plasma 101.3 98 - 108 mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma 26.8 22 - 29 mmol/L
Protein [Mass/volume] in Serum or Plasma 7.9 6.6 - 8.3 g/dL
Albumin [Mass/volume] in Serum or Plasma 4.2 3.5 - 5.5 g/dL
Bilirubin.total [Mass/volume] in Serum or Plasma 14.7 H 0.3 - 1.2 mg/dL
Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma 61.7 40 - 130 U/L
Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma 18.2 7 - 55 U/L
Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma 35.4 10 - 40 U/L
Magnesium [Mass/volume] in Serum or Plasma 2.2 1.8 - 2.3 mg/dL
Phosphate [Mass/volume] in Serum or Plasma 3.9 2.5 - 4.5 mg/dL
pH of Arterial blood 7.1 L 7.35 - 7.45 [pH]
Carbon dioxide [Partial pressure] in Arterial blood 43.6 35 - 45 mm[Hg]
Oxygen [Partial pressure] in Arterial blood 86.3 75 - 100 mm[Hg]
Bicarbonate [Moles/volume] in Arterial blood 25.0 22 - 32 mmol/L
Oxygen saturation in Arterial blood 91.0 L 95 - 100 %
Cholesterol [Mass/volume] in Serum or Plasma 260.2 H 125 - 200 mg/dL
Triglyceride [Mass/volume] in Serum or Plasma 131.1 10 - 175 mg/dL
Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay 181.2 H 0 - 130 mg/dL
Cholesterol in HDL [Mass/volume] in Serum or Plasma 52.8 50 - 100 mg/dL
Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method 0.0 0 - 26.2 pg/mL
Thyrotropin [Units/volume] in Serum or Plasma 4.1 0.5 - 6 m[IU]/L
Hemoglobin A1c/Hemoglobin.total in Blood 5.2 4.5 - 6.4 %
Ketones [Presence] in Urine by Test strip 1.0 0.5 - 4 {presence}

Coagulation

Test 06-NOV-2016 Reference Range Unit
Prothrombin time (PT) 11.5 11 - 15 s
INR in Platelet poor plasma by Coagulation assay 0.9 0.9 - 3 {INR}
aPTT in Blood by Coagulation assay 33.9 25 - 40 s

Urinalysis

Test 06-NOV-2016 Reference Range Unit
Glucose [Presence] in Urine by Test strip 1.0 H 0 - 0 {presence}
Bilirubin.total [Presence] in Urine by Test strip 1.0 0 - 1 {presence}
Specific gravity of Urine by Test strip 1.0 L 1.01 - 1.03 {SG}
pH of Urine by Test strip 5.6 4.5 - 7.5 [pH]
Protein [Presence] in Urine by Test strip 1.0 H 0 - 0 {presence}
Nitrite [Presence] in Urine by Test strip 1.0 0 - 1 {presence}
Hemoglobin [Presence] in Urine by Test strip 0.0 0 - 0 {presence}
Leukocyte esterase [Presence] in Urine by Test strip 0.0 0 - 0 {presence}

Annotation

Conclusion and Recommendations based on this report and previous findings known to us
The patient shows mild normocytic anemia, decreased hematocrit, and impaired renal function (elevated creatinine). There is marked hyperbilirubinemia with normal liver enzymes, suggesting possible hemolysis or cholestasis. Metabolic acidosis is present (low arterial pH, low O2 saturation). Lipid profile is atherogenic (high total and LDL cholesterol). Urinalysis reveals proteinuria and glucosuria, indicating possible renal involvement. Further clinical correlation and follow-up are recommended.