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Laboratory Report

Patient
Name: Ferreira, Vicente
DOB: 26-DEC-1941 (Age: 83)
Gender: male
Address:
R São Domingos 111
2645-065 Alcabideche (Portugal)
ID: 7321-512116-8
Report
Date: 24-JUN-2025
Laboratory
Requested by
CASP -Centro de Apoio Social do Pisão
2710-631 Sintra (Portugal)
Specimen
Collected: 23-JUN-2025

Chemistry

Test 23 Jun 2025 Reference Range Unit
Glucose [Mass/volume] in Serum or Plasma 93.3 70 - 99 mg/dL
Urea nitrogen [Mass/volume] in Serum or Plasma 8.3 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 8.6 8.5 - 10.5 mg/dL
Sodium [Moles/volume] in Serum or Plasma 143.6 135 - 145 mmol/L
Potassium [Moles/volume] in Serum or Plasma 5.2 H 3.5 - 5 mmol/L
Chloride [Moles/volume] in Serum or Plasma 101.9 98 - 108 mmol/L
Carbon dioxide, total [Moles/volume] in Serum or Plasma 22.0 22 - 29 mmol/L
Ketones [Presence] in Urine by Test strip Urine ketone test = ++
Hemoglobin A1c/Hemoglobin.total in Blood 3.6 L 4 - 6 %

Urinalysis

Test 23 Jun 2025 Reference Range Unit
Glucose [Mass/volume] in Urine by Test strip 2.1 H 0 - 0.1 mg/dL
Glucose [Presence] in Urine by Test strip ++
Bilirubin.total [Mass/volume] in Urine by Test strip 1.4 0 - 1.7 mg/dL
Bilirubin.total [Presence] in Urine by Test strip Finding of bilirubin in urine
Ketones [Mass/volume] in Urine by Test strip 11.5 H 0 - 0.6 mg/dL
Specific gravity of Urine by Test strip 1.0 L 1.01 - 1.03 {nominal}
pH of Urine by Test strip 5.3 4.5 - 7 pH
Protein [Mass/volume] in Urine by Test strip 279.2 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

Annotation

Conclusion and Recommendations based on this report and previous findings known to us
The patient shows persistently elevated creatinine, proteinuria, glycosuria, and ketonuria, suggesting significant renal impairment with possible tubular dysfunction. Urine is consistently abnormal in appearance and color, with low specific gravity, indicating impaired concentrating ability. Blood glucose is normal, but HbA1c is low, making diabetes unlikely. Mild hyperkalemia is present. No evidence of urinary tract infection. Recommend nephrology evaluation for chronic kidney disease and further assessment of possible underlying causes (e.g., tubulointerstitial disease, nephrotic syndrome).