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Laboratory Report
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Chemistry
| Test | 15-FEB-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 94.6 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 19.5 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.4 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.2 | 8.6 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 138.1 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 5.2 H | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 101.6 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 24.3 | 22 - 32 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = +++ | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 2.9 L | 4.5 - 6.4 | % |
Urinalysis
| Test | 15-FEB-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 2.0 H | 0.8 - 0 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 1.0 | 0 - 1.5 | mg/dL |
| Bilirubin.total [Presence] in Urine by Test strip | Finding of bilirubin in urine | ||
| Ketones [Mass/volume] in Urine by Test strip | 19.5 H | 0 - 8 | mg/dL |
| Specific gravity of Urine by Test strip | 1.0 L | 1.01 - 1.03 | {nominal} |
| pH of Urine by Test strip | 5.1 | 4.6 - 7.5 | pH |
| Protein [Mass/volume] in Urine by Test strip | 266.7 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 | 15-FEB-2017 | 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 elevated serum creatinine and potassium, indicating impaired renal function. Urinalysis reveals significant proteinuria, glucosuria, ketonuria, low specific gravity, and abnormal urine appearance, suggesting nephrotic-range protein loss and possible tubular dysfunction. Hemoglobin A1c is low, possibly due to anemia or recent changes in glycemic control. Findings are consistent with acute or chronic kidney disease with possible nephrotic syndrome; clinical correlation and further nephrological evaluation are recommended. |