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Laboratory Report
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Chemistry
| Test | 29-JUN-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 82.2 | 70 - 139 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 14.5 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 1.9 H | 0.6 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.5 | 8.5 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 137.2 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.6 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 110.3 H | 98 - 110 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 23.8 | 22 - 32 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = + | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 3.3 L | 4 - 6 | % |
| Glucose [Mass/volume] in Blood | 82.2 | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 14.5 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 1.3 | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.5 | 8.6 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Blood | 137.2 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.6 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 110.3 H | 98 - 110 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 23.8 | 22 - 29 | mmol/L |
Urinalysis
| Test | 29-JUN-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 2.4 H | 0 - 0 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 1.3 | 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 | 10.8 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 | 5.6 | 4.5 - 7.5 | pH |
| Protein [Mass/volume] in Urine by Test strip | 274.5 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 | 29-JUN-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 elevated serum creatinine, proteinuria, glucosuria, ketonuria, and low urine specific gravity, suggesting impaired renal function with possible nephrotic-range proteinuria and tubular dysfunction. The presence of glucose and ketones in urine with low HbA1c and normal blood glucose is unusual and may indicate a non-diabetic cause. Urine is cloudy and brown, but no evidence of infection. Further nephrological evaluation is recommended to clarify the underlying renal pathology. |