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Laboratory Report
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Chemistry
| Test | 21-NOV-2018 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 67.5 L | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 19.0 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.0 H | 0.9 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.3 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 141.1 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.5 | 3.5 - 5 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 101.7 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 20.7 L | 22 - 29 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = ++ | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 2.9 L | 4.3 - 6.4 | % |
| Glucose [Mass/volume] in Blood | 67.5 L | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 19.0 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Blood | 7.4 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.3 | 8.5 - 10.5 | mg/dL |
| Sodium [Moles/volume] in Blood | 141.1 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.5 | 3.5 - 5.3 | mmol/L |
| Chloride [Moles/volume] in Blood | 101.7 | 98 - 110 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 20.7 L | 22 - 29 | mmol/L |
Urinalysis
| Test | 21-NOV-2018 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 2.2 H | 0 - 0.8 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 0.4 | 0.2 - 1 | mg/dL |
| Bilirubin.total [Presence] in Urine by Test strip | Finding of bilirubin in urine | ||
| Ketones [Mass/volume] in Urine by Test strip | 16.6 H | 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 | 6.2 | 4.6 - 7 | pH |
| Protein [Mass/volume] in Urine by Test strip | 397.5 H | 0 - 150 | 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 | 21-NOV-2018 | 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 significant renal dysfunction (markedly elevated creatinine, proteinuria), hypoglycemia with low HbA1c, and metabolic acidosis (low CO₂). Urinalysis reveals glucosuria, ketonuria, and proteinuria with abnormal urine appearance, suggesting possible acute or chronic kidney disease with glycosuria not explained by diabetes. Immediate clinical evaluation is recommended to assess for acute kidney injury, possible underlying metabolic derangement, and to rule out urinary tract pathology. |