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Laboratory Report
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Hematology
| Test | 22-MAY-2017 | Reference Range | Unit |
|---|---|---|---|
| Leukocytes [#/volume] in Blood by Automated count | 7.3 | 4 - 11 | 10*3/uL |
| Erythrocytes [#/volume] in Blood by Automated count | 5.0 | 3.8 - 5.7 | 10*6/uL |
| Hemoglobin [Mass/volume] in Blood | 15.9 | 12 - 16 | g/dL |
| Hematocrit [Volume Fraction] of Blood by Automated count | 37.4 L | 38 - 56 | % |
| MCV [Entitic volume] by Automated count | 86.5 | 78 - 98 | fL |
| MCH [Entitic mass] by Automated count | 30.5 | 27 - 34 | pg |
| MCHC [Mass/volume] by Automated count | 31.6 L | 32 - 35 | g/dL |
| Erythrocyte distribution width [Ratio] by Automated count | 15.2 | 11.6 - 16.5 | % |
| Platelets [#/volume] in Blood by Automated count | 382.3 | 157 - 415 | 10*3/uL |
Chemistry
| Test | 22-MAY-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 71.5 | 70 - 99 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 7.8 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.9 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.7 | 8.5 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 136.6 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.3 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 105.0 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 23.3 | 22 - 32 | mmol/L |
| Protein [Mass/volume] in Serum or Plasma | 8.3 | 6 - 8.3 | g/dL |
| Albumin [Mass/volume] in Serum or Plasma | 4.6 | 3.5 - 5 | g/dL |
| Bilirubin.total [Mass/volume] in Serum or Plasma | 11.6 H | 0.3 - 1.2 | mg/dL |
| Alkaline phosphatase [Enzymatic activity/volume] in Serum or Plasma | 40.7 | 32 - 150 | U/L |
| Alanine aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 0.8 L | 13 - 32 | U/L |
| Aspartate aminotransferase [Enzymatic activity/volume] in Serum or Plasma | 39.5 | 10 - 40 | U/L |
| Magnesium [Mass/volume] in Serum or Plasma | 2.3 | 1.7 - 2.6 | mg/dL |
| Phosphate [Mass/volume] in Serum or Plasma | 3.1 | 2.5 - 4.5 | mg/dL |
| pH of Arterial blood | 7.0 L | 7.35 - 7.45 | [pH] |
| Carbon dioxide [Partial pressure] in Arterial blood | 42.6 | 38 - 48 | mm[Hg] |
| Oxygen [Partial pressure] in Arterial blood | 91.1 | 75 - 100 | mm[Hg] |
| Bicarbonate [Moles/volume] in Arterial blood | 24.3 | 22 - 31 | mmol/L |
| Oxygen saturation in Arterial blood | 94.0 L | 95 - 100 | % |
| Cholesterol [Mass/volume] in Serum or Plasma | 299.5 H | 130 - 200 | mg/dL |
| Triglyceride [Mass/volume] in Serum or Plasma | 140.8 | 0 - 199 | mg/dL |
| Cholesterol in LDL [Mass/volume] in Serum or Plasma by Direct assay | 210.5 H | 0 - 130 | mg/dL |
| Cholesterol in HDL [Mass/volume] in Serum or Plasma | 60.9 | 50 - 100 | mg/dL |
| Troponin I.cardiac [Mass/volume] in Serum or Plasma by High sensitivity method | 0.0 | 0 - 26.2 | pg/mL |
| Thyrotropin [Units/volume] in Serum or Plasma | 3.1 | 0.5 - 4 | m[IU]/L |
| Hemoglobin A1c/Hemoglobin.total in Blood | 5.5 | 4.5 - 6.4 | % |
| Ketones [Presence] in Urine by Test strip | 1.0 | 0.5 - 4 | {presence} |
Coagulation
| Test | 22-MAY-2017 | Reference Range | Unit |
|---|---|---|---|
| Prothrombin time (PT) | 11.0 | 11 - 15 | s |
| INR in Platelet poor plasma by Coagulation assay | 0.9 | 0.9 - 1.1 | {INR} |
| aPTT in Blood by Coagulation assay | 39.6 H | 25 - 35 | s |
Urinalysis
| Test | 22-MAY-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Presence] in Urine by Test strip | 1.0 H | 0 - 0 | {presence} |
| Bilirubin.total [Presence] in Urine by Test strip | 1.0 | 0 - 1 | {presence} |
| Specific gravity of Urine by Test strip | 1.0 L | 1.01 - 1.03 | {SG} |
| pH of Urine by Test strip | 7.3 | 4.5 - 7.5 | [pH] |
| Protein [Presence] in Urine by Test strip | 1.0 H | 0 - 0.3 | {presence} |
| Nitrite [Presence] in Urine by Test strip | 1.0 | 0 - 1 | {presence} |
| Hemoglobin [Presence] in Urine by Test strip | 0.0 | 0 - 0 | {presence} |
| Leukocyte esterase [Presence] in Urine by Test strip | 0.0 | 0 - 0 | {presence} |
Annotation
| Conclusion and Recommendations based on this report and previous findings known to us |
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| The patient shows evidence of significant renal dysfunction (elevated creatinine, proteinuria, low urine specific gravity), marked hyperbilirubinemia, metabolic acidosis (low arterial pH, low O2 saturation), and prolonged aPTT. There is also marked hypercholesterolemia and LDL elevation. Mild anemia is suggested by low hematocrit and MCHC. Liver enzymes are not elevated, but ALT is low. Findings are consistent with acute or chronic renal and hepatic dysfunction, with possible nephrotic syndrome and metabolic derangement. Immediate clinical correlation and further evaluation are recommended. |