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Laboratory Report

Patient
Name: Kratochvílová, , Iva,
DOB: 17-SEP-1964 (Age: 61)
Gender: female
Address:
Žofie Podlipské 4
27324 Postoloprty (Czechia)
ID: 4380-389488-0 (ECI)
Report
Date: 17-MAR-2024
Laboratory
dr Ample, Ex
Laboratoire Central Européenne
Boulevard du Jardin Botanique 32
1000 Brussels (Belgium)
Requested by
Nemocnice s poliklinikou Kadaň
432 01 Kadaň (Czechia)
Specimen
Collected: 17-MAR-2024

Hematology

Test 17-MAR-2024 Reference Range Unit
Leukocytes [#/volume] in Blood by Automated count 6.4 3.4 - 10.6 10*3/uL
Erythrocytes [#/volume] in Blood by Automated count 4.5 4.2 - 5.2 10*6/uL
Hemoglobin [Mass/volume] in Blood 12.5 12 - 16 g/dL
Hematocrit [Volume Fraction] of Blood by Automated count 41.4 36 - 48 %
MCV [Entitic volume] by Automated count 94.4 82 - 98 fL
MCH [Entitic mass] by Automated count 30.1 27 - 33 pg
MCHC [Mass/volume] by Automated count 33.6 32 - 37 g/dL
Erythrocyte distribution width [Entitic volume] by Automated count 43.7 36 - 46 fL
Platelets [#/volume] in Blood by Automated count 426.2 150 - 450 10*3/uL
Platelet distribution width [Entitic volume] in Blood by Automated count 300.0 H 11.6 - 17.4 fL
Platelet mean volume [Entitic volume] in Blood by Automated count 9.4 7.4 - 12 fL

Chemistry

Test 17-MAR-2024 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 98.6 70 - 99 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 8.9 7 - 20 mg/dL
Creatinine [Mass/volume] in Serum or Plasma 2.0 H 0.6 - 1.3 mg/dL
Calcium [Mass/volume] in Serum or Plasma 8.9 8.6 - 10.4 mg/dL
Sodium [Moles/volume] in Serum or Plasma 139.4 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 5.1 H 3.5 - 5 mmol/L
Chloride [Moles/volume] in Serum or Plasma 110.9 H 98 - 106 mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma 28.7 22 - 29 mmol/L
Ketones [Presence] in Urine by Test strip Urine ketone test = +
Hemoglobin A1c/Hemoglobin.total in Blood 3.3 L 4 - 6 %
Glucose [Mass/volume] in Blood 98.6 70 - 140 mg/dL
Urea nitrogen [Mass/volume] in Blood 8.9 7 - 25 mg/dL
Creatinine [Mass/volume] in Blood 2.2 H 0.6 - 1.1 mg/dL
Calcium [Mass/volume] in Blood 8.9 8.6 - 10.4 mg/dL
Sodium [Moles/volume] in Blood 139.4 135 - 145 mmol/L
Potassium [Moles/volume] in Blood 5.1 3.5 - 5.1 mmol/L
Chloride [Moles/volume] in Blood 110.9 H 98 - 110 mmol/L
Carbon dioxide, total [Moles/volume] in Blood 28.7 22 - 29 mmol/L

Urinalysis

Test 17-MAR-2024 Reference Range Unit
Glucose [Mass/volume] in Urine by Test strip 1.7 H 0 - 0.8 mg/dL
Glucose [Presence] in Urine by Test strip ++
Bilirubin.total [Mass/volume] in Urine by Test strip 1.0 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 17.6 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 5.1 4.5 - 7 pH
Protein [Mass/volume] in Urine by Test strip 172.5 H 0 - 145 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 17-MAR-2024 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
The patient shows elevated creatinine, potassium, and chloride, suggesting impaired renal function. Urinalysis reveals proteinuria, glycosuria, ketonuria, low specific gravity, and abnormal urine appearance, supporting possible renal dysfunction and/or poorly controlled diabetes with ketosis. Hemoglobin A1c is unexpectedly low, possibly due to recent changes or hemolysis. No evidence of urinary infection. Recommend further nephrological and diabetic evaluation, and correlation with clinical findings.