REERENCE RANGE

Blood Urea Nitrogen*

Alkaline Phosphatase*
Sodium (Na)*
Potassium *
Chloride (Cl)*
Creatinine *
Serum Albumin*
Urinary Albumin
Urinary creatinine
Urinary Albumin / Urinary Creatinine Ratio
Total Cholesterol*
URINE ROUTINE*
Volume
Colour
Appearance
Reaction (pH)
Specific Gravity
Proteins
Glucose
Bilirubin
Occult Blood
Ketones
Urobilinogen
Pus Cells
Red Blood Cells
Epithelial Cells
Hyline Casts
Other Casts
Crystals
Amorphous Deposit
Others
Sample Time

VITAMIN D (25 HYDROXY )

Cyclosporin A Whole Blood Monoclonal (C2

6 - 20mg/dl
150 - 380U/litre
138 - 145mmol/L
3.40 - 4.70mmol/L
98 - 107mmol/L
0.04 - 0.45mg/dl
3.80 - 5.40gm/dl

0.0 - 30.0 Ratio

Abnormal : >199 mg/dl

5.0 - 9.0
1.005 - 1.030
Negative
Negative
Negative
Absent
Negative
0.2 - 1.0 mg/dl
0 - 5 / hpf
0 - 5 / hpf
0 - 5 / hpf
0 - 5 / hpf
Absent /lpf
Absent
Absent
Absent
Deficiency : <20.0;
Insufficiency: 20.0-<30.0;
Sufficiency :30.0-100.0;
Toxicity :>100.0ng/mL

CRP Result (CPR is an acute - phase

reactant, synthesized in the liver, whose
elevation indicates tissue injury or onset of
inflammation
0 - 10 mg/l

Complete Blood Count - CBC

Red Blood Cells
R.B.C Count
Haemoglobin (Hb)
PCV (Haematocrit)
MCV
MCH
MCHC
RDW - SD
While Blood Cells
Total W.B.C Count
Differential Count
Neutrophilic Band Cells
Neutrophilis
Eosinophilis
Lymphocytes
Monocytes
Basophils
Platelets
Total Platelet Count
MPV
Platelet on Smear
Sample Type

4.00 - 5.30 x 10 ^ 6 /cumm

11.5 - 14.5 gm/dl
33.0 - 43.0%
76.0 - 90.0fL
25.0 - 31.0 pg
31 - 36%
11..5 - 15.0%
4000 - 12000/cumm
0 - 6%
20 - 46%
0 - 6%
20 - 45%
0 - 10%
0 - 1%
1.5 - 4.5 Lacs/cumm
6.0 - 9.5 fL

Magnesium
1.7 - 2.55 mg/dl
Protein Fractions
Albumin (ElectroPhoresis)
3.9 - 5.1 g/dl
Alpha 1
0.2 - 0.4 g/dl
Alpha 2
0.46 - 1.38 g/dl
BETA
0.3 - 0.89 g/dl
GAMMA
0.74 - 1.74 g/dl
PhosPhorus
2.7 - 4.5 mg/dl
BLOOD UREA (Urease GLDH, Serum/PLASMA) < 50 mg/dl
TOTAL CALCIUM (OCPC)
8.4 - 10.4 (1 - 4 years)
IONIC CALCIUM
4.0 - 4.8 mg/dl
LIVER PANEL
GLOBULIN
2.0 - 3.0 g/dl
ALBUMIN: GLOBULIN RATIO
1.5: 1 - 2.5: 1
TOTAL BILIRUBIN
0 - 1 mg/dl
DIRECT BILIRUBIN
0 - 0.2 mg/dl
INDIRECT BILIRUBIN
0 - 0.6 mg/dl
Aspartate Aminotransferase(S.G.O.T UV KinetFemale upto 32
Alanine Aminotransferase(S.G.P.T UV Kinetic)Female upto 31
GAMMA G.T
Female 5 - 36
PROTHROMBIN TIME

PATIENT
10.2 - 11.9 secs
CONTROL
11.1
PROTHROMBIN INDEX
INTERNATIONAL NORMALIZED RATIO
PLATELET COUNT (Automated blood cell coun1,40,000 - 4,40,000 / cmm
TOTAL PROTEINS (Biuret)
> 3 years: 6.0 - 8.3
HAEMOGLOBIN PERCENTAGE (Automated blood
3 months - 6 years - 12.6 +/-1.5
Serum Creatinine
Child : 0.3 - 0.7
Bicarbonate
23 - 29mEq/litre
S.G.P.T.
Alkaline Phosphatase
150 - 380U/litre
Creatinine
0.04 - 0.45mg/dl
Creatine kinase
34 - 145IU/L

May - 20 - 2012
RESULT

Mar - 24 - 2012

34
125
135.8
5.39
113.3
0.57
1.47
199
26.3
756.65
699

Jan - 01 - 2012

31.1

22.7
132.9
5.57
112.5
0.75
1.55

5.4
0.48
1.36

115
137
4.4
108.9

>200
23.2
>869.56
610

427

60
20
30
Yellow
Yellow
Yellow
Clear
Slightly Hazy Slightly Hazy
7
7
7
1.02
1.02
1.02
Present(+++)
Present(+++) Present(+++)
Negative
Negative
Negative
Negative
Negative
Negative
Present (+++)
Present (+++) Present (+++)
Negative
Negative
Negative
0.2
0.2
0.2
02 - 03
06 - 08
04 - 06
25 - 30
12 - 15
18 - 20
01 - 02
02 - 03
03 - 04
Present (01 - 02) Absent
Absent
Absent
Absent
Absent
Absent
Absent
Absent
Absent
Absent
Absent
Absent
Absent
Absent
Random
Morning
Random

< 1.50
0.1 ug/ml

May - 08 - 2011

< 1.50

11.3

747

2.71
8
24.7
91
29.7
32.5
11.7
16000

17190

5
49%
2
42
2
0

18.10%
0.20%
75.40%
6.20%
0.10%

9.11
6.7
Increased
EDTA Blood
1.4 mg/dl
1.7
0.1
1.3
0.3
0.2
4.4
13
8.5
5
1.9 g/dl
0.89:1
0.21 mg/dl
0.06 mg/dl
0.15 mg/dl
16
8
16
16

9.8 secs
11.1
113.3
0.89
531000/cmm
3.6 g/dl
12.9 g/dl
0.2 mg/dl

20-Oct
Sodium (Na)
138 - 145mmol/L
Chloride (Cl)
98 - 107mmol/L
Bicarbonate
23 - 29mEq/litre
Calcium*
8.8 - 10.8mg/dl
Phosphorus
4.00 - 7.00mg/dl
S.G.P.T.
9 - 52U/L
Alkaline Phosphatase
150 - 380U/litre
Creatinine
0.04 - 0.45mg/dl
Creatine kinase
34 - 145IU/L
Serum Albumin*
3.80 - 5.40gm/dl
Magnesium
1.70 - 2.30mg/dl
Urinary Albumin
Urinary creatinine
Urinary Albumin / Urinary Creatinine 0.0 - 30.0 Ratio
Total Cholesterol*
Potassium
3.40 - 4.70mmol/L
RED BLOOD CELLS
R.B.C. Count
4.00 - 5.30x10 ^6/
Haemoglobin (Hb)
11.5 - 14.5gm/dl
PCV (Haematocrit)
33.0 - 43.0%
MCV
76.0 - 90.0fL
MCH
25.0 - 31.0pg
MCHC
31 - 36%
RDW - SD
11.5 - 15.0%
WHITE BLOOD CELLS
Total W.B.C. Count
4000 - 12000/cumm
DIFFERENTIAL COUNT
Neutrophilic Band cells
0-6 %
Neutrophils
20 - 46%
Eosinophils
0 - 6%

32.9
7.9
6.61
6
122
0.89
73
1.43
3.34
193
26.8
720.15
480
6.24

HiranandanHiranandani
27-Oct Nov 4th Nov 21st 1-Dec
134.1
113
21.7

143.1

140.1
110.1

8.88
10
0.77

0.69

0.69

1.86
140
24.9
562.25
4.88

189
16.7
1131.74
659
4.92

2.67
8.1
23.6
88.4
30.3
34.2
16.4

3.44
10.1
29.9
87
29.3
33.7
14.1

17100

18900

41
3

57
0

4.1
3.45
10
30.3
88
29.1
33
13.3
22100

51
0

Lymphocytes
Monocytes
Basophils
PLATELETS
Total Platelet Count
MPV
Platelet on Smear
Absolute leucocyte count
Neutrophils
Eosinophils
Lymphocytes
Monocytes

IgG
VITAMIN D (25 Hydroxy ) -Serum
Anion GAP
Serum Iron
Total Iron Binding Capacity (TIBC)
Percentage Saturation
Blood Urea Nitrogen
Total Proteins
Globulin
A//G Ration

20 - 45%
0 - 10%
0 - 1%
1.5 - 4.5Lacs/ cumm
6.0 - 9.5fL

4.98
7.5
Increased

thou/mm3
thou/mm3
thou/mm3
thou/mm3

04-06 years : 5601307

20-Oct
50 - 120 ug/dl
250 - 450 ug/dl
14 - 50%
6 - 20 mg/dl
6 - 8 gm/dl
1.8 - 3.6 gm/dl
0.9 to 2

Kidney Panel Kft serum

Urea
Creatinine
Uric Acid
Alkaline Phosphate (ALP)
Total Protein

54
2
0

10.0 - 38.0
0.3 - 0.7
2.6- 6.00
96 - 297
6.0 - 8.0

170.8
5.9

40
3
0

38
3
0

8.13
7.33
6.8
6.8
Increased increased

Albumin
A:G Ratio
Calcium total
Phosphorous
Sodium
Potassium
Chloride
Magnesium serum
CPK: Creatinie Kinase, Serum
ALT (SGPT) , Serum
Cholesterol, Total serum

3.8 - 5.4
0.9 - 2.0
8.8 - 10.8
3.2 - 5.8
138 - 145
3.4 - 4.7
101 - 109
1.7 - 2.3
< 145
< 35
< 170

TSH

0.7 - 6.4

20-Oct

27-Oct Nov 4th Nov 21st

1-Dec

Dec 3rd

Dec 8th

Dec 15th

139.3
110

135.9
101.2

136.3

8.26

7.9

8.38

12

15

0.77

0.71

0.63

1.76

1.87

1.95

30-Jan

17
7.87
10
103
0.8
47
1.59

Jariwala
17-Feb
137
110
16

0.9

23-Feb

21.8
7.59
7.13
123.3
0.89

15-Mar

HiranandaniHiranandaniHiranandani
31-Mar
7-Apr
20-Apr

13.1
7.48

136.3
107.9
17.8
7.47

18

0.75

0.77
89

1.52
1.7

4.04

3.75

3.64

340
5.3

44
14.5
303.4

19.2
13.8
139.13
4.84

5.37

391
4.4

3.23

2.85
8.9
24.9
87.7
31.3
35.7
13.1

2.39
7
21
87.9
29.1
33.2
13.6

2.57
7.6
22.5
88
29.5
33.6
12.6

2.43
7
21.2
87
28.8
33
12.9

18500

16,200

14100

12300

48
2

8
51
0

4
60
2

4
48
2

5.3

22
14.3
153.85

40
6
0

37
4
0

5.07
7.3
increased

30
4
0

42
4
0

8.36
8.51
6.97
6.4
6.7
6.8
increased increased increased

3.4
16.3
50.8
130.2
39/02

Dec 3rd

Dec 8th

Dec 15th

30-Jan

17-Feb

23-Feb

15-Mar

31-Mar

7-Apr

20-Apr

Hinduja
27-Apr

Hiranandani Jariwala
27-Apr
9-May

Hiranandani Jariwala
11-May
16-Jun
137.2
117
6.99
4.53
11

1107
25
44.3

16
19
84.21

790.2
19.3
40.94

140
113
16

0.76
37
1.4

0.9

12
8.5
141.18

1141
24.8
46.03
5.1
2.77
7.9
24.8
89.5
28.5
31.9
15.3

80
0

26-Jun

3-Aug

136.7
114.9
18.4
7.69
6.58
27
150

134.2
111.1

1.48

1.8
1.32

Jariwala
6-Aug

5-Oct

11-Nov

140.1
108.7
15
7.1
5.76
17
155
1.12

5.06
21
123
0.91

1.66
1460
27.3
53.48

873.8
20.8
42.01

422
3.56

377
3.55

307
3.96

2.95
8.4
25.8
87.4
28.4
14.7

2.73
7.9
24.8
91
29
31.9
11.8

2.66
7.6
24.2
91
28.6
31.4
12.7

15200

10000

13700

4
72
0

4
58
2

5
65
2

18
2
0

19
5
0

30
6
0

22
6
0

7.31
7

8.8
6.8

6.68
6.8

16.1

18.6
4.63
2.83
0.64

27-Apr

11-May

16-Jun

26-Jun

3-Aug

6-Aug

1-Dec

22-Dec

Gurgaon
25-Jan

28-Dec

Gurgaon
9-Feb

137.9
112.8
17.5
6.45
4.43
47
165
1.55
62
1.86
932
18.2
51.21

695.8
14.7
47.33

1281.70 mg/dL(Met 1020

18.35 mg%
21.31
69.85
47.89
280
4.04
2.64
7.4
23
87
28
32
16.4
16500
6
82
2

917 (mg/dL)
15.7
58.46

Gurgaon
11-Feb

7-Apr

141
119
16
6.3
5.6
14
234
1.6
134
1.52

136
108
16
6.01
7.16
17
372
3.49
173
1.55

240
4.14

809
21.85
37.04
291
4.75

7
19.8
85.8
30.4
35.4
14.7

2.36
6.8
21
89
28.8
32.4
13.9

2.3
1020
21.31
47.89

7.8 thou/mm3

44.2
2.4

14.58

44.5
1.9

8
2
0
5.89
7.4

40.9
11.9
0.6

46.3
7.2
0.1

416 thou/mm3

420

3.5
0.2
3.2
0.9

6.49
0.28
6.75
1.05

46
101
45.54

94
1.6
5.4
234
3.7

154
3.49
7.51
372
3.81

1.52
0.7
6.3
5.6
141
4.14
119
2.3
134
14
240

1.55
0.69
6.01
7.16
136
4.75
108
2.7
173
17
291
7.23

22-Apr

734
20
35.71

22-Apr

treatment future
250 mmf try to withdraw
methyl prednisolone tail end
rituximap? Shld we. Since its not responsive y add more immuno suppressants
only treat symptomatically, like iron bp cholestrol etc
genetic test will tell us more
abroad they treat to improve protein leak, but affects kidney in other ways
mayo clinic, aims in delhi does some research
cut down visolone, mmf too

20-Oct
Sodium (Na)
Bicarbonate
Calcium*
S.G.P.T.
Creatinine
Creatine kinase
Serum Albumin*
Urinary Albumin
Urinary creatinine
Urinary Albumin / Urinary Creatini
Total Cholesterol*
Potassium

32.9
7.9
6
0.89
73
1.43
193
26.8
720.15
480
6.24

27-Oct Nov 4th

134.1
21.7

0.77

140
24.9
562.25
4.88

Nov 21st
143.1
8.88
10
0.69
1.86
189
16.7
1131.74
659
4.92

1-Dec
140.1

Dec 3rd Dec 8th Dec 15th

139.3
135.9
136.3
8.26

0.69

4.1

0.77

7.9
12
0.71

8.38
15
0.63

1.76

1.87

1.95

4.04

3.75

3.64

30-Jan
17
7.87
10
0.8
47
1.59
1.6

340
5.3

17-Feb
137
16

23-Feb

0.9

0.89

21.8
7.59

1.52

5.3

5.37

15-Mar
13.1
7.48
6
0.75

1.4

391
4.4

31-Mar
136.3
17.8
7.47
18
0.77
89
44
14.5
303.4
3.23

7-Apr

19.2
13.8
139.13
4.84

20-Apr

22
14.3
153.85

27-Apr

16
19
84.21

11-May
137.2
6.99
11
0.76
37
1.4
12
8.5
141.18

16-Jun
140
16
9
0.9

26-Jun
136.7
18.4
7.69
27

1.48
1141
24.8
46.03
5.1

422
3.56

3-Aug
134.2

6-Aug

21
0.91
1.8
1460
27.3
53.48
377
3.55