UNIVERSITAS ACADEMIC LABORATORY

Block C, First Floor, Medical Faculty, Df Malherbe Road

Bloemfontein, FS, 9300
Tel: 051 405 3359 / 3025, Fax: 051 444 4153
Practice Number 5200296 pg 1 of 3

FULL FINAL LABORATORY REPORT

PATIENT: LAB NUMBER: HU 00602133 REPORT TO:
Cm CALITZ
22/01/42 (76y) Sex F Sample Ref: ADKE4587NOF Dr E. JANSE VAN RENSBURG
Race: White Collected: 17/10/2018 ? Universitas Hospital
ID no: 420122 0036 08 1 Received: 17/10/2018 11:19 Private Bag X20660
NICK LOUWLAAN 17 Printed: 23/11/2018 10:46 Bloemfontein
Odendaalsrus Free State
9480 9300
Tel H: 083 9956 992

Patient Location: Universitas Hospital, Cardiology Clinic UKKARD

Hospital Number: HUUM00405666

FOR ENQUIRIES AND FOLLOW-UP TESTS, PLEASE QUOTE PATIENT'S MRN NUMBER HUUM00405666

CHEMICAL PATHOLOGY
Tel: 051 405 3784, Fax: 051 444 4153

Specimen received: Clotted blood, EDTA blood

Tests requested: Na, K, Urea, Creat, HbA1c, Ca, Mg, PO4, Alb, T bili, C bili, ALT, AST
ALP, GGT, CK, Lipids, Vit B12, Fol, TSH, FT4, Indices

Blood chemistry:
Sodium 147 H mmol/L 136 - 145
Potassium 4.8 mmol/L 3.5 - 5.1
Urea 8.2 H mmol/L 2.1 - 7.1

Creatinine and estimated GFR:

Creatinine 73 umol/L 49 - 90
2
eGFR (MDRD formula) >60 mL/min/1.73 m

MDRD-derived estimation of GFR may significantly underestimate true GFR

in patients with GFR > 60 mL/min/1.73m^2. It may also be unreliable in
the case of: age <18 years or >70 years; pregnancy; serious co-morbid
conditions; acute renal failure; extremes of body habitus/unusual diet;
gross oedema. The MDRD-eGFR used here does not employ an ethnic factor
for race.

Blood chemistry:

Glycated haemoglobin (HbA1c):

Glycated haemoglobin (NGSP) 6.2 %
Glycated haemoglobin (IFCC) 44 mmol/mol
Estimated average glucose (eAG) 7.3 mmol/L

Monitoring glycaemic control in Diabetes Mellitus (SEMDSA Guidelines):

T2DM HbA1c Target < 7.0% (< 53 mmol/mol)
T1DM HbA1c Target < 7.5% (< 58 mmol/mol)
When HbA1c > 7.5% (> 58 mmol/mol), the risk of microvascular
complications increases 2.5 - 5 fold.
 UNIVERSITAS ACADEMIC LABORATORY
Block C, First Floor, Medical Faculty, Df Malherbe Road
Bloemfontein, FS, 9300
Tel: 051 405 3359 / 3025, Fax: 051 444 4153
Practice Number 5200296 pg 2 of 3
Cm CALITZ LAB NO: HU 00602133 23/11/2018 10:46
Universitas Hospital, Cardiology Clinic UKKARD, Hospital Number HUUM00405666

Blood chemistry:<Continued>

Estimated average glucose level (eAG):

The HbA1c result is used to estimate the average glucose level to assist
patient education. Conditions in which eAG may be unreliable: children,
pregnancy, haemoglobinopathies, altered red cell turnover, unstable
glycaemic control and renal failure.
eAG may not correlate with self-monitored blood glucose values.

Calcium 2.62 H mmol/L 2.20 - 2.55

Magnesium 1.02 mmol/L 0.63 - 1.05
Inorganic phosphate 1.21 mmol/L 0.78 - 1.42

Liver function tests:

Albumin 41 g/L 35 - 52
Total bilirubin 6 umol/L 5 - 21
Conjugated bilirubin (DBil) 2 umol/L 0 - 3
Alanine transaminase (ALT) 18 U/L 7 - 35
Aspartate transaminase (AST) 16 U/L 13 - 35
Alkaline phosphatase (ALP) 100 H U/L 42 - 98
Gamma-glutamyl transferase (GGT) 39 U/L <40

Cardiac markers:
Creatine kinase (CK) 82 U/L 20 - 180

Lipids:
Total cholesterol 5.96 mmol/L
Triglyceride 2.07 mmol/L
HDL cholesterol 1.44 mmol/L
LDL cholesterol 3.57 mmol/L

CHOLESTEROL TREATMENT TARGETS (per patient category):

Very High Risk High Risk Moderate/Low Risk
Category Category Category
Total Cholesterol < 4.0 mmol/L < 4.5 mmol/L < 5.0 mmol/L
LDL Cholesterol < 1.8 mmol/L < 2.5 mmol/L < 3.0 mmol/L
Framingham 10-year CVD Risk Score NA 15-30 3-15/<3

In addition, the following concentrations are considered optimal:

HDL Cholesterol > 1.2 mmol/L
Triglycerides < 1.7 mmol/L
NB Trig >10mmol/L carries increased risk for development of pancreatitis

SUBJECTS CONSIDERED TO BE AT VERY HIGH RISK:

Established atherosclerosis (coronary, cerebrovascular or peripheral)
Diabetes type 2
Diabetes type 1 with albuminuria or proteinuria
Genetic dyslipidaemias e.g. Familial hypercholesterolaemia
Chronic kidney disease (GFR < 60ml/min/1.73 m2)

Reference: South African Dyslipidaemia SAH and LASSA Guideline 2012

Consensus Statement.
 UNIVERSITAS ACADEMIC LABORATORY
Block C, First Floor, Medical Faculty, Df Malherbe Road
Bloemfontein, FS, 9300
Tel: 051 405 3359 / 3025, Fax: 051 444 4153
Practice Number 5200296 pg 3 of 3
Cm CALITZ LAB NO: HU 00602133 23/11/2018 10:46
Universitas Hospital, Cardiology Clinic UKKARD, Hospital Number HUUM00405666

Haematinics:
Vitamin B12 531 H pmol/L 141 - 489
Serum folate 12.4 nmol/L 8.8 - 60.8

Thyroid function tests:

Thyroid stimulating hormone 2.35 mIU/L 0.27 - 4.20
Thyroxine (free T4) 15.8 pmol/L 12.0 - 22.0

Indices:

Indices in serum:
Haemoglobin index Not detected
Bilirubin index Trace
Lipaemia index Not detected

Authorised by: HD Potgieter (Medical Technologist) HbA1c Vit B12 Fol TSH FT4
DL Kgothule (Medical Technologist) Na K Urea Creat Ca Mg PO4 Alb T bili
C bili ALT AST ALP GGT CK Lipids Indices

HAEMATOLOGY
Tel: 051 405 3887, Fax: 051 444 4156

Specimen received: EDTA blood

Tests requested: FBC, DIFF

Full Blood Count:

9
White Cell Count 9.14 x 10 /L 3.90 - 12.60
12
Red Cell Count 5.02 x 10 /L 3.93 - 5.40
Haemoglobin 14.3 g/dL 11.6 - 16.4
Haematocrit 0.454 L/L 0.340 - 0.480
MCV 90.4 fL 78.9 - 98.5
MCH 28.5 pg 26.1 - 33.5
MCHC 31.5 L g/dL 32.7 - 34.9
Red Cell Distribution Width 14.1 % 12.4 - 17.3
9
Platelet Count 256 x 10 /L 186 - 454
MPV 8.4 fL 7.3 - 11.3

Differential Count:
9
White Cell Count 9.14 x 10 /L 3.90 - 12.60
9
Neutrophils 53.80 % 4.92 x 10 /L 1.60 - 8.30
9
Lymphocytes 39.60 % 3.62 x 10 /L 1.40 - 4.50
9
Monocytes 4.30 % 0.39 x 10 /L 0.20 - 0.80
9
Eosinophils 0.70 % 0.06 x 10 /L 0.00 - 0.40
9
Basophils 0.30 % 0.03 x 10 /L 0.00 - 0.10
9
"Other" Cells 1.30 % 0.12 x 10 /L

Authorised by: CEL Smuts (Medical Technologist) FBC DIFF

-- End of Laboratory Report --