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Laboratory Report

Patient
Name: Neary, , Meaghan,
DOB: 19-DEC-1960 (Age: 64)
Gender: female
Address:
64 Linskey Street
D02 Dublin (Ireland)
ID: 1586-567257-8 (ECI)
Report
Date: 07-NOV-2016
Laboratory
dr Ample, Ex
Laboratoire Central Européenne
Boulevard du Jardin Botanique 32
1000 Brussels (Belgium)
Requested by
Rotunda Hospital
Parnell Square West nan
D01 Dublin (Ireland)
Specimen
Collected: 07-NOV-2016

Chemistry

Test 07-NOV-2016 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 81.6 70 - 99 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 15.2 7 - 50 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 10.0 8.6 - 10.4 mg/dL
Sodium [Moles/volume] in Serum or Plasma 139.9 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 5.1 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Serum or Plasma 102.8 98 - 108 mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma 24.7 22 - 32 mmol/L
Ketones [Presence] in Urine by Test strip Urine ketone test = +
Hemoglobin A1c/Hemoglobin.total in Blood 3.3 L 4 - 6.4 %

Urinalysis

Test 07-NOV-2016 Reference Range Unit
Glucose [Mass/volume] in Urine by Test strip 2.2 H 0.8 - 0 mg/dL
Glucose [Presence] in Urine by Test strip ++
Bilirubin.total [Mass/volume] in Urine by Test strip 0.8 0 - 1 mg/dL
Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip 9.3 H 0 - 4 mg/dL
Specific gravity of Urine by Test strip 1.0 L 1.005 - 1.03 {nominal}
pH of Urine by Test strip 5.4 4.6 - 7 pH
Protein [Mass/volume] in Urine by Test strip 225.5 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 07-NOV-2016 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
The patient shows elevated serum creatinine, suggesting impaired renal function. Urinalysis reveals significant proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine appearance (cloudy, brown, ammoniacal), all indicating possible renal pathology (e.g., diabetic nephropathy or acute kidney injury). However, HbA1c is low, arguing against chronic hyperglycemia. No evidence of urinary tract infection. Recommend further nephrological evaluation and assessment for possible acute or chronic kidney disease.