LABORATORIES AND DIAGNOSTIC PROCEDURES

June 26, 2016

A. Complete Blood Count
Result Validated: June 26, 2016 01:49PM

TEST
NAME

CONVENTIONAL

REMARKS

RESULT

REF. RANGE

WBC
Count

10.71

4.50 - 11.00x10'3/u

Normal

RBC Count

2.02

4.60 - 6.20x10'6/uL

Decreased

Hemoglobin

6.4

13.5 - 18.0 g/dL

Decreased

Hematocrit

19.4

40.0 - 54.0 %

Decreased

96

80.0 - 100.0fL

Normal

Mean Cell
Volume
Mean
Corpuscular
Hgb
Mean
Corpuscular
Hct
Platelet
MPV

31.7

27.032.0 pg

Increased

33

31.0-35.0 g/dL

Normal

259

150-400x10'3/uL

Normal

11.8

7.8-11.0 fL

Increased

CLINICAL
SIGNIFICANCE

Anemia, blood
infection or sepsis
Anemia
Deficiencies in
nutrients such as
iron, folate, or
vitamin B-12
internal bleeding
hemolytic anemia
kidney failure

Anemia

May be
associated with
bleeding and
clotting disorders

10

B. Blood Chemistry
Result Validated: June 26, 2016 02:39PM

TEST NAME

Blood Urea
Nitrogen

Creatinine

SGPT (ALT)

Uric Acid

CONVENTIONAL
REF.
RESULT
RANGE

139 mg/dL

9-23
mg/dL

REMARKS

Increased

22.5 mg/dL

0.6-1.1.
mg/dL

Increased

70 IU/L

4-36IU/L

Increased

5.7 mg/dL

4.0-8.5
mg/dL

Normal

CLINICAL
SIGNIFICANCE
Congestive heart
failure or recent
heart attack,
Gastrointestinal
bleeding, high
protein levels,
kidney disease,
kidney failure,
dehydration,
obstruction in the
urinary tract, shock
High-protein diet,
dehydration, kidney
problems, such as
kidney damage or
infection, reduced
blood flow to the
kidneys due to
shock, congestive
heart failure, or
complications of
diabetes
Hepatitis,
Pancreatitis, lack of
blood flow to the
liver, death of liver
tissue

11

C. Electrolytes and Glomerular Filtration Rate

Result Validated: June 26, 2016 02:39PM

TEST
NAME
eGFR

CONVENTIONAL
RESULT

REF. RANGE

2.09707ml/min/1.73m2

>90
ml/min/1.73m2

REMARKS

CLINICAL
SIGNIFICANCE

Decreased

Stage 5: Kidney
Failure
Kidney failure,
respiratory
acidosis,
metabolic
acidosis, tissue
injury, infection,
diabetes

Potassium 6.7 meq/L

3.8-5.0 meq/L

Increased

Sodium

136-142 meq/L

Normal

139 meq/L

D. Hepatitis Work-up
Result Validated: June 26, 2016 03:34PM

TEST NAME
HCV Test /Anti HCV
( Hep C Antibody )
HBsAg ( Hep B Surface
Antigen )
HBsAb/ Anti HBs (Hep B
Surface Antibody)
HBcAb/ Anti HBc ( Hep
B Core Antibody )

RESULT

REMARKS

Nonreactive

Normal

Nonreactive

Normal

Nonreactive

Normal

Nonreactive

Normal

CLINICAL
SIGNIFICANCE

12

E. Arterial Blood Gas

TEST
NAME

RESULT

NORMAL
VALUE

REMARKS

pH

7.08

7.35-7.45

Decreased

pO2

179

80-100 mmHg

Increased

pCO2

20

35-45 mmHg

Decreased

HCO3

5.9

22-27 mmol/L

Decreased

O2 sat

99%

95-100%

CLINICAL
SIGNIFICANCE
Metabolic Acidosis,
Kidney Failure
Metabolic Acidosis,
Kidney Failure
Metabolic Acidosis,
Kidney Failure
Metabolic Acidosis,
Kidney Failure

Normal

F. Radiologic Report
Remarks:
1. Pulmonary vessels appear prominent
2. Minimal pleural effusion or thickening. Concomitant pneumonia cannot be
ruled out.
3. Probable cardiomegaly
June 27, 2016
A. Blood Chemistry
Result Validated: June 27, 2016 02:48PM

TEST
NAME

Blood
Urea
Nitrogen

Creatinine

CONVENTIONAL
REF.
RESULT
RANGE

106 mg/dL

9-23 mg/dL

16.9 mg/dL

0.6-1.1.
mg/dL

REMARKS

Increased

Increased

CLINICAL SIGNIFICANCE

Congestive heart failure or

recent heart attack,
Gastrointestinal bleeding,
high protein levels, kidney
disease, dehydration
High-protein diet,
dehydration, kidney
problems, reduced blood flow
to the kidneys

13

B.

Potassium and Glomerular Filtration Rate

Result Validated: June 27, 2016 02:48PM

CONVENTIONAL

TEST
NAME

RESULT

Potassium 5.2 meq/L

CLINICAL
SIGNIFICANCE

REF. RANGE

2.95923
>90
Decreased
ml/min/1.73m2 ml/min/1.73m2

eGFR

C.

REMARKS

3.8-5.0 meq/L

Increased

Stage 5: Kidney
Failure
Kidney failure,
respiratory acidosis,
metabolic acidosis,
tissue injury,
infection, diabetes

Lower Abdomen Ultrasound

Impression
1. Enlarged kidneys with parenchymal disease
2. Minimal bilateral pleural effusion
3. Normal ultrasound of the kidneys and prostate gland

June 28, 2016

A. Complete Blood Count
Result Validated: June 28, 2016 08:45AM

TEST
NAME
WBC Count
RBC Count
HGB
Hemoglobin
HCT
Hematocrit

CONVENTIONAL

REMARKS

RES
REF. RANGE
ULT
10.8
4.50-11.00x10'3/u Normal
9
4.602.37
Decreased
6.20x10'6/uL
7.2

22.2

13.5-18.0 g/dL

40.0-54.0 %

CLINICAL
SIGNIFICANCE

Anemia, blood
infection or sepsis

Decreased

Anemia

Decreased

Deficiencies in
nutrients such as iron,
folate, or vitamin B12
internal bleeding

14

hemolytic anemia
kidney failure
MCV Mean
Cell Volume
MCH Mean
Corpuscular
Hgb.
MCHC Mean
Corpuscular
Platelet
MPV

93.7

80.0-100.0fL

Normal

30.4

27.032.0 pg

Increased

32.4

31.0-35.0 g/dL

Normal

235
12

150-400x10'3/uL
7.8-11.0 fL

Normal
Increased

B. Urinalysis
Result Validated: June 28, 2016 11:52PM

TEST
NAME

RESULT

REF.
RANGE
(MALE)

REMARKS

CLINICAL
SIGNIFICANCE

Physical Examination
Color

Yellow

Slightly
Hazy
Spec.Gravity
1.015
Chemical Analysis
Clarity

Normal
Normal
Normal

pH

5.5

Decreased

Protein

3+

Increased

Glucose

1+

Increased

Blood

2+

Increased

Ketone
Negative
Nitrite
Negative
Bilirubin
Negative
Urobilirobin
Negative
Leukocyte
1+
esterase
Urine Flow Cytometer

Acidosis,
dehydration,
diarrhea
UTI, kidney
infection, diabetes
dehydration
Glucose
intolerance or
diabetes
Infection, kidney
disease, cancer, and
rare blood
disorders

Normal
Normal
Normal
Normal

15

WBC

11 /hpf

RBC

7 /hpf

Epith. Cells

1 /hpf

Hyaline Cast

0 /hpf

Bacteria

12 / hpf

0-1/
hpf
0-2/
hpf
0-2/
hpf
0-3/
hpf
0 20 /
hpf

Increased

Infection

Increased

Infection

Normal
Normal
Normal

June 29, 2016

A.

Blood Chemistry and Electrolyte

Result Validated: June 29, 2016 09:19AM

TEST
NAME

CONVENTIONAL

REMARKS

RESULT

REF.
RANGE

Albumin

2.5

3.2 4.5
g/dL

Increased

Calcium

6.2

8.7 10.4
mg/dL

Normal

Serum
Bicarbonate

18.1

20 31
mEq/L

Decreased

SGPT (ALT)

85

4 36 IU/L

Increased

CLINICAL
SIGNIFICANCE

Inflammation, Shock,
Liver disease,
Nephritic syndrome
Kidney disease,
intestinal disorders,
diarrhea, Vitamin D
insufficiency
Metabolic acidosis
caused by kidney
failure, severe
diarrhea or prolonged
lack of oxygen from
severe anemia, heart
failure or shock
Hepatitis, Pancreatitis,
lack of blood flow to
the liver, death of liver
tissue

16

Blood Glucose Monitoring

400
350
300
250
200
150
100
50
BLOOD SUGAR (mg/dL)

DATE
26-Jun-16
26-Jun-16
27-Jun-16
27-Jun-16
27-Jun-16
27-Jun-16
28-Jun-16
28-Jun-16
28-Jun-16
28-Jun-16
28-Jun-16
28-Jun-16
28-Jun-16
29-Jun-16
29-Jun-16
29-Jun-16
29-Jun-16
29-Jun-16
29-Jun-16
29-Jun-16
30-Jun-16
30-Jun-16
30-Jun-16

TIME
12:00:00 PM
09:00:00 PM
05:00:00 AM
12:00:00 PM
06:00:00 PM
09:00:00 PM
06:00:00 AM
07:00:00 AM
08:00:00 AM
09:00:00 AM
12:00:00 PM
06:00:00 PM
09:00:00 PM
06:00:00 AM
07:00:00 AM
08:00:00 AM
09:00:00 AM
12:00:00 PM
06:00:00 PM
09:00:00 PM
06:00:00 PM
06:00:00 AM
12:00:00 PM

BLOOD
SUGAR
(mg/dL)
96
125
49
115
111
124
122
88
88
110
155
140
173
103
169
117
113
113
120
198
128
180
251
17

01-Jul-16
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04-Jul-16
04-Jul-16
04-Jul-16
04-Jul-16
05-Jul-16
05-Jul-16
05-Jul-16
05-Jul-16
05-Jul-16
05-Jul-16
05-Jul-16

06:00:00 AM
12:00:00 PM
02:00:00 PM
03:00:00 PM
04:00:00 PM
05:00:00 PM
09:00:00 PM
06:00:00 AM
12:00:00 PM
06:00:00 PM
09:00:00 PM
06:00:00 AM
07:00:00 AM
09:00:00 AM
10:00:00 AM
11:00:00 AM
12:00:00 PM
06:00:00 PM
09:00:00 PM
06:00:00 AM
12:00:00 PM
06:00:00 PM
09:00:00 PM
06:00:00 AM
12:00:00 PM
01:00:00 PM
02:00:00 PM
03:00:00 PM
04:00:00 PM
05:00:00 PM

114
160
157
145
121
207
244
99
219
250
301
135
180
145
145
145
225
235
223
231
131
340
314
201
262
282
198
203
181
175

18