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Laboratory Report
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Hematology
| Test | 21-JUN-2017 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 4.9 | 4 - 11 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 4.3 | 4.2 - 5.8 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 15.8 | 12 - 16 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 49.6 H | 36 - 48 | % |
| MCV [Entitic volume] by Automated count | 84.5 | 78 - 98 | fL |
| MCH [Entitic mass] by Automated count | 31.9 | 27 - 34.5 | pg |
| MCHC [Mass/volume] by Automated count | 32.5 | 31.5 - 35.5 | g/dL |
| Erythrocyte distribution width [Ratio] by Automated count | 13.4 | 11.5 - 16 | % |
| Platelets [#/volume] in Blood by Automated count | 330.0 | 150 - 350 | 10*3/uL |
Chemistry
| Test | 21-JUN-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 98.3 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 18.7 | 7 - 25 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.5 H | 0.6 - 1.1 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.2 | 8.5 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 143.9 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.5 | 3.5 - 5.3 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 102.7 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 21.3 L | 22 - 29 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 7.2 | 6 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 4.5 | 3.5 - 5.5 | g/dL |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 7.2 H | 0.3 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 80.4 | 35 - 270 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 3.0 L | 7 - 60 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 30.6 | 10 - 40 | U/L |
| Magnesium [Mass/volume] in Serum or Plasma | 1.7 | 1.6 - 2.3 | mg/dL |
| Phosphate [Mass/volume] in Serum or Plasma | 3.0 | 2.5 - 4.5 | mg/dL |
| pH of Arterial blood | 6.9 L | 7.35 - 7.45 | [pH] |
| Carbon dioxide [Partial pressure] in Arterial blood | 40.3 | 38 - 48 | mm[Hg] |
| Oxygen [Partial pressure] in Arterial blood | 89.9 | 75 - 100 | mm[Hg] |
| Bicarbonate [Moles/volume] in Arterial blood | 24.7 | 22 - 31 | mmol/L |
| Oxygen saturation in Arterial blood | 98.0 | 95 - 100 | % |
| Cholesterol [Mass/volume] in Serum or Plasma | 145.9 | 125 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 123.9 | 0 - 150 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 53.3 | 0 - 130 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 67.8 | 50 - 100 | mg/dL |
Coagulation
| Test | 21-JUN-2017 | Reference Range | Unit |
|---|---|---|---|
| Prothrombin time (PT) | 11.7 | 11 - 15 | s |
| INR in Platelet poor plasma by Coagulation assay | 0.9 | 0.9 - 3 | {INR} |
| aPTT in Blood by Coagulation assay | 34.2 | 25 - 40 | s |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| The patient shows marked metabolic acidosis (pH 6.9, low CO₂), severe hyperbilirubinemia, and significantly elevated creatinine, suggesting acute or chronic renal and hepatic dysfunction. Hematocrit is mildly elevated, but other blood counts are within normal limits. Liver enzymes are not elevated, but ALT is low. Immediate clinical assessment is warranted due to life-threatening acidosis and possible multi-organ failure. |