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Laboratory Report
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Chemistry
| Test | 08-MAR-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Serum or Plasma | 72.5 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Serum or Plasma | 9.8 | 7 - 20 | mg/dL |
| Creatinine [Mass/volume] in Serum or Plasma | 2.3 H | 0.6 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Serum or Plasma | 9.0 | 8.6 - 10.4 | mg/dL |
| Sodium [Moles/volume] in Serum or Plasma | 139.5 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Serum or Plasma | 4.0 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Serum or Plasma | 107.4 | 98 - 108 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Serum or Plasma | 23.5 | 22 - 32 | mmol/L |
| Ketones [Presence] in Urine by Test strip | Urine ketone test = +++ | ||
| Hemoglobin A1c/Hemoglobin.total in Blood | 3.1 L | 4.5 - 6.4 | % |
| Glucose [Mass/volume] in Blood | 72.5 | 70 - 140 | mg/dL |
| Urea nitrogen [Mass/volume] in Blood | 9.8 | 7 - 30 | mg/dL |
| Creatinine [Mass/volume] in Blood | 4.7 H | 0.5 - 1.3 | mg/dL |
| Calcium [Mass/volume] in Blood | 9.0 | 8.6 - 10.2 | mg/dL |
| Sodium [Moles/volume] in Blood | 139.5 | 135 - 145 | mmol/L |
| Potassium [Moles/volume] in Blood | 4.0 | 3.5 - 5.1 | mmol/L |
| Chloride [Moles/volume] in Blood | 107.4 | 98 - 114 | mmol/L |
| Carbon dioxide, total [Moles/volume] in Blood | 23.5 | 22 - 32 | mmol/L |
Urinalysis
| Test | 08-MAR-2017 | Reference Range | Unit |
|---|---|---|---|
| Glucose [Mass/volume] in Urine by Test strip | 0.7 L | 0.8 - 0 | mg/dL |
| Glucose [Presence] in Urine by Test strip | ++ | ||
| Bilirubin.total [Mass/volume] in Urine by Test strip | 0.5 | 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 | 6.6 | 4.6 - 7.5 | pH |
| Protein [Mass/volume] in Urine by Test strip | 383.2 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 | 08-MAR-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 markedly elevated creatinine, significant proteinuria, and high urinary ketones, suggesting acute or chronic renal dysfunction with possible nephrotic-range proteinuria and ketosis. Urine is brown, cloudy, and has low specific gravity, indicating possible renal concentrating defect. Blood glucose and HbA1c are low, arguing against diabetes. No evidence of urinary infection. Recommend urgent nephrology evaluation for renal impairment and further assessment of proteinuria and ketonuria. |