LABORATORY RESULT

X Ray
DATE : July 6, 2014
-

there is hazed opacity in the right lower lung field.

Heart is enlarged.
Aorta is atheromatous.
Diaphragm is intact. Costopherenic sulci are intact .
The rest of the visualized chest structures are unremarkable.

Impression:
-

Pneumonia , right lower lung field.

Cardiomegaly
Atheromatous aorta

ARTERIAL BLOOD GAS RESULT

Result
pH
PaCO2
PaO2
HCO3
B.E
SaO2

7.264
56.8
59.4
25.2
-1.8
86.62

Reference
7.35 7.45
35 45
80 100
22 26
+/ -2 mEq/L
97%

Interpretation
Decrease
Increase
Decrease
Normal
Decrease
Decrease

Complete Blood Count

Test
WBC

Result
24.45

Reference
3.98 - 10.04 x 10^ 3/uL

Interpretation
Increased

Neutro %
Lympho %

73.1
6.7

24.0 71.1
19.3 51.7

Increased
Decreased

Mono %

19.5

4.7 12.5

Increased

Eo

0.4

0.7 5.8

Decreased

Baso %
Neutro #
Lympho #
Mono #
Eo #
Baso #

0.3
17.86
1.65
4.77
0.10
0.07

0.1 1.2
1.56 6.13 x 10 ^ 3/uL
1.18 3.74 x 10 ^ 3/uL
0.24 0.36 x 10 ^ 3/uL
0.04 0.36 x 10 ^ 3/uL
0.01 0.08 x 10 ^ 3/uL

Normal
Increased
Normal
Increased
Normal
Normal

RBC
HGB
HCT
MCV
MCH
MCHC
RDW CV
RDW SD

Result
4.42
12.8
40.1
90.7
29.0
32.9
13.4
44.0

Reference
3.93 5.22 x 10 ^ 3/uL
11.2 15.7 g/dl
34.1 44.9 5
79.4 94.8 fl
25.6 32.2 pg
32.2 35.5 g/ dl
11.7 14.4 %
36.4 46.3 fl

Normal
Normal
Normal
Normal
Normal
Normal
Normal
Normal

PLT

243

150 400 x 10 ^ 3/uL

Normal

Interpretation

Significance :
Increased in WBC, indicates infection, tissue necrosis due to burns, MI, or gangrene,
tonsillitis, appendicitis, meningitis.

Increased in neutrophil indicates infection, metabolic disorder : diabetic acidosis,

eclampsia, uremia, thyrotoxicosis, stress response, inflammatory disease.
Decrease in lymphocytes indicates that there in debilitating illnesses : heart failure, renal
failure, advance Tb, defective lymphatic circulation, high level of adrenal corticosteroid,
immune deficiency due to immune suppressive.
Monocytes decrease with use of corticosteroid, RA, HIV infection.
Eosinophil decreases when there is stress, Cushings Syndrome , and use of some
medication (ACTH , Epinephrine, Thyroxine)

ARTERIAL BLOOD GAS RESULT

Result
pH
PaCO2
PaO2
HCO3
B.E
SaO2

7.264
56.8
59.4
25.2
-1.8
86.62

Reference
7.35 7.45
35 45
80 100
22 26
+/ -2 mEq/L
97%

Interpretation
Decrease
Increase
Decrease
Normal
Decrease
Decrease

Significance :
Decrease pH level means that the substance is very acidic, since the lower the number on
the pH scale, the more acidic it is. It also means that the substance has more positive
hydrogen ions than hydroxide ions.
Increase PaCO2 level is caused by pulmonary edema and obstructive lung disease. The
condition of respiratory acidosis is present if the PCO2 number is above 45 mmHg. There
is too much carbon dioxide in the blood. A person with this condition can be confused or
restless and have a low heart rate.
Decreased PaO2 level associated with decreased oxygen levels in the inhaled air,
Anemia, Heart decompensation, Chronic obstructive pulmonary disease, Restrictive
pulmonary disease and Hypoventilation.
Decreased Base Excess may be indicate lactic acidosis, ketoacidosis, ingestion of acids,
cardiopulmonary collapse and shock.

Decrease Oxygen Saturation will fall if inspired oxygen levels are diminished, such as
at increased altitudes. Upper or middle airway obstruction exist ( such as during an acute
asthmatic attack) and significant alveolar lung disease exist, interfering with the free flow
of oxygen across the alveolar membrane.

Result

Reference

Method

Interpretation

Glucose

8.8 mmol/l

4.1 5.9 mmol/l

VITROS 350

INCREASE

Uric Acid (Female)

327 umol/l

149 369 umol/l

VITROS 350

NORMAL

Creatinine (Female)

68 umol/l

62 106 umol/l

VITROS 350

NORMAL

Cholesterol

5.4 mmol/l

< 5.2 mmol/l

VITROS 350

INCREASE

Triglycerides

2.85 mmol/l

<1.69 mmol/l

VITROS 350

INCREASE

Sodium ( Easylyte)

137.5 mmol/l 135 147 mmol/l

EASYLYTE

NORMAL

Potassium (Easylyte)

3.22 mmol/l

3.50 5.30 mmol/l EASYLYTE

DECREASE

Significance :
Increase Glucose level Higher-than-normal random blood glucose levels may be a sign of diabetes. In
someone with diabetes, it may mean the diabetes is not well controlled.

Increase Cholesterol level indicate diet high in carbohydrates/sugars.

Increase Triglycerides level are almost always a sign of too much carbohydrate intake
and hyperlipidism.
Decrease Potassium level can cause muscle weakness and heart problems.