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Laboratory Report
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Chemistry
| Test | 28-AUG-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Blood | 93.8 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 16.8 | 7 - 30 | mg/dL |
| Creatinine [Mass/volume] in Blood | 3.3 H | 0.5 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.6 | 8.6 - 10.2 | mg/dL |
| Sodium [Moles/volume] in Blood | 141.6 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.5 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 107.7 | 98 - 114 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 23.7 | 22 - 32 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 6.2 | 6 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 5.5 | 3.5 - 5.5 | g/dL |
| Globulin [Mass/volume] in Serum by calculation | 2.5 | 2 - 3.5 | g/L |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 1.2 | 0.3 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 93.7 | 44 - 142 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 59.1 H | 7 - 40 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 23.3 | 10 - 40 | U/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = +++ |
Urinalysis
| Test | 28-AUG-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 1.6 H | 0.8 - 0 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 1.0 | 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 | 7.3 | 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 | 5.8 | 4.6 - 7.5 | pH |
| Protein [Mass/volume] in Urine by Test strip | 260.2 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 | 28-AUG-2017 | 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 markedly elevated serum creatinine, indicating significant renal impairment, and elevated ALT, suggesting possible liver involvement. Urinalysis reveals proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal appearance, consistent with nephrotic-range protein loss and possible tubular dysfunction. No evidence of urinary infection. Findings are suggestive of acute or chronic kidney disease with possible metabolic derangements; prompt nephrology evaluation is recommended. |