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Laboratory Report
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Hematology
| Test | 30-AUG-2022 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 7.6 | 3.6 - 10.5 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 5.4 | 4.2 - 5.7 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 13.1 | 12.1 - 15.5 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 46.3 | 38 - 54 | % |
| MCV [Entitic volume] by Automated count | 81.9 L | 82 - 98 | fL |
| MCH [Entitic mass] by Automated count | 31.4 | 27 - 34 | pg |
| MCHC [Mass/volume] by Automated count | 35.2 H | 31.5 - 35 | g/dL |
| Erythrocyte distribution width [Entitic volume] by Automated count | 45.3 | 36 - 55 | fL |
| Platelets [#/volume] in Blood by Automated count | 177.3 | 150 - 450 | 10*3/uL |
| Platelet distribution width [Entitic volume] in Blood by Automated count | 296.6 | 15 - 450 | fL |
| Platelet mean volume [Entitic volume] in Blood by Automated count | 12.3 H | 7.4 - 12 | fL |
Chemistry
| Test | 30-AUG-2022 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 65.9 L | 70 - 99 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 14.0 | 7 - 50 | 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 | 8.6 | 8.6 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 144.0 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 3.9 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 108.5 H | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 26.2 | 22 - 32 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = ++ | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 3.1 L | 4 - 6.4 | % |
| Glucose [Mass/volume] in Blood | 65.9 L | 70 - 100 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 14.0 | 7 - 43 | mg/dL |
| Creatinine [Mass/volume] in Blood | 2.6 H | 0.6 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Blood | 8.6 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 144.0 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 3.9 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 108.5 H | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 26.2 | 22 - 29 | mmol/L |
Urinalysis
| Test | 30-AUG-2022 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 2.5 H | 0.8 - 0 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 0.7 | 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 | 6.3 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 | 6.6 | 4.6 - 7 | pH |
| Protein [Mass/volume] in Urine by Test strip | 230.9 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 | 30-AUG-2022 | 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 evidence of renal dysfunction (elevated creatinine), significant proteinuria, and abnormal urine findings (cloudy, brown, low specific gravity, ketones, glucose). There is also hypoglycemia and low HbA1c, suggesting chronic low glucose. Electrolytes are mostly normal except for mild hyperchloremia. Hematology is largely unremarkable except for borderline low MCV and high MCHC/MPV. Findings are consistent with possible diabetic nephropathy or another glomerular pathology; recommend urgent nephrology evaluation and further assessment for underlying metabolic and renal disorders. |