I.

LABORATORY and DIAGNOSTIC RESULTS

Name of Examination: Urinalysis

Definition: An analysis of the volume and physical, chemical, and microscopic properties of urine
Preparation:
1. Instruct patient to collect the first void of the day in a specimen container upon awakening.
2. Have patient clean labia and meatus from front to back.
3. Upon voiding, have patient collect urine from the midstream void.
4. Cover container tightly and clean the outside portion.
5. Send the specimen with name, date, and time of voiding to the laboratory as soon as possible.
Purpose: to check for complications
Date: July 4, 2015
Properties
Normal Values
Color
Yellow to amber in
color

result
Straw

Significance
Within normal limits

Transparency

Hazy

Hazy

Within normal limits

Reaction(pH)
Specific gravity

4.6 to 8.0
1.001 to 1.035

6.0
1.020

Within normal limits

Within normal limits

Chemical Test
Sugar

Negative

Negative

Within normal limits

Negative

Negative

Within normal limits

<5/hpf
<5/hpf

1-3/hpf
2-4/hpf

Within normal limits

Within normal limits

No significant value

Few

It is very common in
the urine to have
amorphous phosphate
crystals. The presence
of amorphous crystals
are not usually
indication for diseases.

None

Many

Sample urine has many

squamous. This
indicates that the urine
sample haas been
contaminated by the
skin flora.

Albumin
Microscopic
Findings
Pus cells
Red Blood Cells
Casts and
Crystals
Amorphous
Phosphates

Squamous
Epithelial Cells

Mucus thread

Few

Many

This could be an
indication for tubular
necrosis and/or
exposure to nephrotoxic
agent

Name of Procedure: Hematology

Name of Examination: Complete Blood Count
Date: July 03, 2015
Definition:
The CBC and differential count are a series of tests of the peripheral blood that provide a
tremendous amount of information about the hematologic system and many other organ systems.
It includes:
Hemoglobin concentration: a measure of the total amount of hemoglobin in the peripheral
blood, which reflects the number of RBCs in the blood
Red blood cell count: a count of the number of circulating red blood cells in 1 mm3 of
peripheral venous blood.
Red blood cell indices: provide information on about the size (MCV and RDW), weight
(MCH), and Hgb concentration (MCHC) of RBCs
WBC count: count of the total n umber of WBCs (leukocytes) in 1 mm3 of peripheral venous
blood; differential count, measures the percentage of each type of leukocyte present in the same
specimen.
Platelet count: count of the number of platelets (thrombocytes) per cubic milliliter of blood.
Enumeration of the cellular elements of the blood
Evaluation of RBC indices
Determination of cell morphology by means of stained smears. Counting is performed
by automated electronic devices capable of rapid analysis of blood samples with a
measurement error of less than 2 percent.
Purpose:

Because the CBC provides much information about the overall health of the individual,
it is an essential component of a complete physical examination, especially when performed on
admission to a health-care facility or before surgery. Other indications for a CBC are as follows:

Suspected hematologic disorder, neoplasm, or immunologic abnormality

History of hereditary hematologic abnormality
Suspected infection(local or systemic, acute or chronic)
Monitoring effects of physical or emotional stress
Monitoring desired responses to drug therapy and undesired reactions to drugs that may
cause blood dyscrasias
Monitoring progression of non-hematologic disorders such as chronic obstructive
pulmonary disease, malabsorption syndromes, malignancies, and renal disease
Preparation:
No special preparations are needed. Tell the patient the purpose of the test and explain the
procedure.
Source: Kee,J.L., A Look at Laboratory and Diagnostic Tests, 7th edition, 2006 Pagana, K.D.,
Pagana, T., Mosbys Diagnostics and Laboratory Test Reference, 8th edition, 2007

CBC
Hemoglobin
Hematocrit

7/03/15
123
0.36

Unit
g/L
L/L

135-180
0.40-0.54
4.6-6.2

Significance
Decreased
Hemoglobin is
the oxygen
carrying
component of
the blood which
is found in RBC,
thus the decrease
in RBC
decreases also
the number of
hemoglobin in
blood.
Hematocrit and
hemoglobin is
directly
proportional to
RBC.

RBC 10^12/L

4.52

10^12/L

WBC

13.55

10^9/L

Differential
Count
Neutrophil
Number Faction
Segmenters

0.80

4.5-11

0.50-0.70

Within normal
limits
Increased

Increased
Physical stress
may lead to
increased levels
of neutrophils
found in your
blood. An
example is that if
you experience
vigorous
physical exertion
your levels of
circulating
neutrophils may
increase by a
factor of eight.
When the cells

Lymphocyte

0.18

0.20-0.40

arrive at your
tissues, they may
die providing
nutrition for the
muscle cells.
Decreased
The main action
of lymphocytes
is to act against
acute viral
infections and
chronic bacterial
infections. The
absence of viral
infections and
the presence of
other existing or
developing
infection would
tend to lower the
lymphocyte
count due to the
bodys
compensatory
mechanism.

Eosinophils

0.00

0.01-0.04

Decreased.
.
Decreased
Within normal
limits

Monocyte
Basophil

0.02
0.00

0.04-0.08
0.00-0.01

Blood Idices
MCH

27.20

Fmol

26.20-36.68

Within normal
limits

MCV
MCHC

80.60
33.70

fL
g/L

82.75-100.5
31.65-33.75

Decreased
Increased.
Mean
corpuscular
hemoglobin
concentration
(MCHC) is the
average
concentration of
hemoglobin in
red blood cells.

High MCHC
levels may
indicate the
presence of
macrocytic
anemia and can
have a variety of
causes, including
liver disease, and
deficiencies of
vitamin B12 and
folic acid
(folate).
Platelet

468

Date: July 4, 2015

Examination

10^9/L

150-450

Result

Unit

Normal Value

Significance

FBS

4.96

Mmol/L

4.1-5.9

Within normal
limits

Cholesterol

4.82

Mmol/L

1.3-5.2

Within normal
limits

Triglyceride

1.04

Mmol/L

0.17-1.70

Within normal
limits

HDL

0.76

Mmol/L

0.90-1.55

Decreased

LDL

1.59

Mmol/L

0-3.9

Within normal
limits

Result

Unit

Normal Value

Significance

Date: July 4, 2015

Examination
BUN

3.71

Mmol/L

2.5-8.0

Within normal
limits

Creatinine

68.30

Umol/L

53-115

Within normal
limits

Sodium

141.30

Mmol/L

135-145

Within normal
limits

Potassium

4.01

Mmol/L

3.-5.0

Within normal
limits