NAME TEST/PROCEDURE

OF

DATE DONE

INDICATION FOR TEST/PROCEDURE

THE

NORMAL VALUE

ACTUAL RESULT/ FINDINGS

INTERPRETATION

SIGNIFICANCE
THE

OF

RESULT/ PROCEDURE

CLINICAL CHEMISTRY

AUGUST 2012

28,

USES
LEVELS BLOOD. OF

CHEMICAL CHEMICAL IN THE

PROCESSES TO MEASURE COMPONENTS

TROPONIN I

THE TROPONIN TEST IS

USED TO HELP DIAGNOSE A HEART ATTACK, TO DETECT AND EVALUATE MILD TO SEVERE HEART INJURY, AND TO DISTINGUISH CHEST PAIN THAT MAY BE DUE TO OTHER CAUSES.

<0.10 UG/L

1.33 UG/L

INCREASED NO

TROPONIN HEART

ABNORMAL

CONCENTRATIONS HAVE APPARENT INJURY. TROPONIN LEVELS MAY ALSO BE ELEVATED WITH ACUTE OR CHRONIC CONDITIONS MYOCARDITIS INFLAMMATION), CONGESTIVE FAILURE, INFECTIONS, DISEASE, CHRONIC INFLAMMATORY CONDITIONS OF MUSCLES AND SKIN. AND HEART SEVERE KIDNEY CERTAIN SUCH AS

(HEART

CREATININE

THE CREATININE
TEST IS USED TO DIAGNOSE TO IMPAIRED RENAL

50

MMOL/L

100

122 MMOL/L

INCREASED
LEVELS IN SUGGEST

CREATININE THE BLOOD OR DISEASES

ABNORMAL

KIDNEY FUNCTION AND DETERMINE

CONDITIONS THAT AFFECT KIDNEY FUNCTION.

(KIDNEY) DAMAGE.

SUCH
BLOOD

AS FLOW

REDUCED
TO THE

KIDNEY DUE TO SHOCK, DEHYDRATION, CONGESTIVE FAILURE, ATHEROSCLEROSIS, COMPLICATIONS DIABETES OR OF HEART

SODIUM

SODIUM REGULATES THE

TOTAL THE OF AMOUNT OF OF WATER IN THE BODY AND TRANSMISSION INDIVIDUAL SODIUM INTO AND OUT CELLS BODY ALSO PLAYS A ROLE IN CRITICAL FUNCTIONS. ESPECIALLY THE BRAIN, REQUIRE SIGNALS COMMUNICATION.

135

148

120 MMOL/L

A
SODIUM

DECREASED OF

ABNORMAL

MMOL/ L

CONCENTRATION

(HYPONATREMIA) OCCUR
S WHENEVER THERE IS A RELATIVE INCREASE IN THE AMOUNT OF BODY WATER RELATIVE TO SODIUM. THIS HAPPENS WITH SOME DISEASES OF THE LIVER AND KIDNEY, IN PATIENTS WITH CONGESTIVE HEART FAILURE, IN BURN VICTIMS, AND IN NUMEROUS OTHER CONDITIONS.

MANY PROCESSES IN THE BODY,

IN NERVOUS ELECTRICAL FOR SYSTEM, AND MUSCLES,

POTASSIUM

THIS TEST IS DONE IF YOU

HAVE SIGNS OF A CONDITION THAT INCLUDE OR AFFECTS BODY FLUIDS.

3.5

5.3

4.9 MMOL/L

NORMAL

MMOL/L

THIS

MAY

DEHYDRATION, VOMITING, DIARRHEA. IT MAY ALSO BE DONE TO DIAGNOSE OR CONFIRM DISORDERS OF THE KIDNEYS

OR ADRENAL GLANDS.

NAME TEST/PROCEDURE

OF

DATE DONE

INDICATION FOR TEST/PROCEDURE

THE

NORMAL VALUE

ACTUAL RESULT/ FINDINGS

INTERPRETATION

SIGNIFICANCE
THE

OF

RESULT/ PROCEDURE

IMMUNOLOGY AND SEROLOGY SECTION

AUGUST 2012

28,

SCIENTIFIC BLOOD PRACTICE, DIAGNOSTIC

STUDY

OF AND TERM

SERUM THE

OTHER BODILY FLUIDS. IN USUALLY REFERS TO THE IDENTIFICATION ANTIBODIES SERUM. ANTIBODIES TYPICALLY RESPONSE INFECTION FORMED TO IN OF THE

SUCH
ARE IN AN

TSH

THE TSH TEST IS OFTEN

THE TEST OF CHOICE FOR EVALUATING FUNCTION SYMPTOMS HYPERTHYROIDISM HYPOTHYROIDISM. FREQUENTLY ALONG PRECEDING A WITH THYROID AND/OR OF OR

0.25 5.0

0.13 UL/ML

HIGH

TSH
MEANS THAT IS TO

RESULT AN NOT THE THYROID

ABNORMAL

OFTEN GLAND

UNDERACTIVE RESPONDING ADEQUATELY STIMULATION OF OR HIGH CHRONIC

IT IS
OR

TSH DUE
THYROID

ORDERED

TO SOME TYPE OF ACUTE DYSFUNCTION. INDICATE A

T4 TEST.

RARELY, A
PROBLEM

OTHER THYROID TESTS

THAT MAY BE ORDERED

TSH RESULT CAN

T3 TEST AND (IF AUTOIMMUNE-RELATED

INCLUDE A THYROID ANTIBODIES THYROID DISEASE IS SUSPECTED).

WITH GLAND, TUMOR

THE SUCH

PITUITARY AS A PRODUCING

UNREGULATED LEVELS OF

TSH.

NAME TEST/PROCEDURE

OF

DATE DONE

INDICATION FOR TEST/PROCEDURE

THE

NORMAL VALUE

ACTUAL RESULT/ FINDINGS

INTERPRETATION

SIGNIFICANCE
THE

OF

RESULT/ PROCEDURE

HEMATOLOGY

AUGUST 2012

26,

THIS TEST IS USED TO EVALUATE ANEMIA, LEUKEMIA, REACTION TO

INFLAMMATION BLOOD CHARACTERS, HYDRATION DEHYDRATION. AND INFECTIONS, PERIPHERAL CELLULAR

STATE OF
AND IRON

HEMOGLOBIN (HGB)

TO RBC.

EVALUATE AND

117 -157 G/L

103 G/L

STATUS

OXYGEN IN THE OF OR

CARRYING CAPACITY OF

HCT(HEMATOCRIT) AND HGB(HEMOGLOBIN) ARE LOW AND YOUR RED

BLOOD CELLS ACTUALLY GET BIGGER TO COLLECT MORE OXYGEN TO CARRY AROUND YOUR SYSTEM.

ABNORMAL

AIDS

DETERMINATION ANEMIA POLYCYTHEMIA.

THIS PROBLEM CAN BE

ASSOCIATED ANEMIA OF WITH SEVERAL

TYPES OR SOMETHING A BIT MORE SERIOUS SUCH AS A GI BLEED.

HEMATOCRIT (HCT)

EVALUATES ANEMIA AND

FLUID BALANCE AND OF MEASURES CONCENTRATION

0.35 0.47 G/L

0.30

RBC IN THE BLOOD VOLUME. RED BLOOD RBC CELLS

USED THE TO TYPE DIAGNOSE OF ANEMIA ANEMIA AND TO DEFINE PRESENT.

LOW HEMATOCRIT MAY INDICATE, ANEMIA (VARIOUS TYPES) AND BLOOD LOSS (HEMORRHAGE) ANEMIA LOWERS RBC VALUES. ANEMIA CAN BE
CAUSED MENSTRUAL STOMACH COLON INFLAMMATORY BY HEAVY BLEEDING, ULCERS, CANCER, BOWEL DISEASE, LEAD

ABNORMAL

3.80 U/L

520

3.12 U/L

ABNORMAL

DISEASE, SOME TUMORS,

ADDISON'S
THALASSEMIA,

POISONING, SICKLE CELL DISEASE, OR REACTIONS TO SOME CHEMICALS AND MEDICINES.

A LOW RBC VALUE MAY ALSO BE

SEEN IF THE SPLEEN HAS BEEN TAKEN OUT.

WHITE BLOOD CELLS

THE
OF IS

WBC

COUNTS

4.5 11.0 U/L

9.0 U/L

NORMAL

MEASURES THE NUMBER

WBCS IN A CUBIC
USED TO DETECT OR

MILLIMETER OF BLOOD. IT INFECTION INFLAMMATION.

NEUTROPHILS

IT IS USED TO DETECT
INFECTION INFLAMMATION. OR

0.40 0.70

0.86

MARKED NEUTROPHILIA (>25,000/L) BRINGS UP

THE PROBLEM OF HEMATOLOGIC MALIGNANCY

ABNORMAL

LYMPHOCYTES

INDICATES THE AMOUNT

OF LYMPHOCYTES WITH AT A PARTICIPATING MACROPHAGES

0.20 0.40

0.12

SITE OF A LOCAL INJURY.

THEY DECREASED BY SEVERE DEBILITATING ILLNESS; CONGESTIVE HEART FAILURE, RENAL FAILURE, ADVANCED
TUBERCULOSIS

ABNORMAL

MONOCYTES

SEEN IN THE RECOVERY PHASE OF MANY ACUTE INFECTIONS. SEEN IN

0.02 0.10

0.02

NORMAL

IT IS ALSO
DISEASES BY

CHARACTERIZED CHRONIC GRANULOMATOUS INFLAMMATION SYPHILIS,

(TB,

BRUCELLOSIS,

CROHN'S DISEASE, AND SARCOIDOSIS), ULCERATIVE COLITIS, SYSTEMIC LUPUS, RHEUMATOID ARTHRITIS, POLYARTERITIS NODOSA,
AND HEMATOLOGIC NEOPLASMS. MANY

PLATELET COUNT

PLATELETS
SMALLEST

ARE

THE

150 -400

354

NORMAL

FORMED

ELEMENTS IN THE BLOOD.

THEY ARE VITAL TO THE

FORMATION HEMOSTATIC

OF PLUG

THE IN

VASCULAR INJURY .

MCV

THE MCV INDICATES

THE RELATIVE SIZE OF THE

80 - 100

95

NORMAL

RBC'S. IT DOES NOT

INDICATE ANYTHING ELSE THE CELL. SEVERAL DIFFERENT TYPES ABOUT OF ANEMIAS CAN BE CLASSIFIED AS MICROOR ANEMIAS. MACROCYTIC

MCH MCHC

CONCENTRATION
HEMOGLOBIN AVERAGE RBC IN

OF THE

27 -34 0.31 0.36

33.00 0.35

NORMAL NORMAL

RDW

RDW CALCULATES THE

VARYING SIZES OF RED BLOOD SAMPLE. CELL

11.50 14.50%

15.30

YOUR RDW IS HIGH THIS

MEANS THAT THERE IS A SPARSE AMOUNT OF OXYGENATED BLOOD IN YOUR SYSTEM.

ABNORMAL

(RBC)

VOLUME IN A BLOOD

AN RDW TEST CBC, OR

BLOOD

IS USUALLY PERFORMED AS PART OF A COMPLETE COUNT.

IRON ANEMIA:
PRESENTS

DEFICIENCY
USUALLY WITH HIGH

MPV

A MEASUREMENT OF THE AVERAGE PLATELETS. SIZE OF

8 10 FL

6.30

RDW WITH LOW MCV LOW MPV MEASUREMEN TS ARE RELATIVELY RARE,
AND MAY BE ASSOCIATED WITH SERIOUS ILLNESSES SUCH AS LEUKEMIA. LOW

ABNORMAL

MPV LEVELS CREATE A

GREAT PATIENT RISK WILL THAT A HAVE

CLOTTING ISSUES IN THE EVENT OF A TRAUMA.

PTT TIME PROTHROMBIN TIME PT. ACT. TEST CONTROL PT PATIENT CONTROL

COMPLEX METHOD FOR

TESTING THE NORMALCY OF COAGULATION PROCESS. INTRINSIC

70.0 100.0 % 10.0 -14.0

SEC

100.0 12.5 1

NORMAL NORMAL NORMAL

1-3 PARTIAL
THROMBOPLASTIN TIME AND PROTHROMBIN TIME ARE OFTEN DONE AT THE SAME TIME TO CHECK FOR BLEEDING PROBLEMS CAUSED BY A PROBLEM WITH THE CLOTTING FACTORS.

26.0 40.0 S 24.0 35.9 S

24.0 SEC. 31.6

NORMAL

NAME TEST/PROCEDURE

OF

DATE DONE

INDICATION FOR TEST/PROCEDURE

THE

NORMAL VALUE

ACTUAL RESULT/ FINDINGS

INTERPRETATIO
N

SIGNIFICANCE
THE

OF

RESULT/ PROCEDURE CLINICAL MICROSCOPY AUGUST 2012 27,

USED AS A SCREENING AND/OR HELP SUBSTANCES DIAGNOSTIC DETECT OR TOOL BECAUSE IT CAN

CELLULAR MATERIAL IN THE URINE ASSOCIATED WITH DISORDERS. SUBSTANCES DIFFERENT METABOLIC AND KIDNEY

OFTEN,
SUCH AS

PROTEIN OR GLUCOSE WILL BEGIN TO APPEAR IN THE URINE ARE BEFORE AWARE PATIENTS

THAT THEY MAY HAVE A PROBLEM. IT IS USED TO DETECT

MACROSCOPIC COLOR CHARACTER SPECIFIC. GRAVITY REACTION SUGAR PROTEIN

Pale yellow to amber

TRANSPARENT

1.015-1.025 5.0 NEGATIVE NEGATIVE NEGATIVE

STRAW HAZY 1.005 5.0 (-) TRACE (-) (-) (-)

INFECTION INFECTION

ABNORMAL
ABNORMAL NORMAL NORMAL NORMAL

PROTEINURIA ARE FEVER, RENAL DISEASE,

ABNORMAL

CHF,

HYPERTENSION

, TUMORS KETONE BILE NITRITE BLOOD NEGATIVE NEGATIVE

NEGATIVE

[+1

EXCESSIVE RED CELL DESTRUCTION, GLOMERULAR DISEASE, KIDNEY URINARY TRACT INFECTION, MALIGNANCY OR

ABNORMAL

, OR URINARY TRACT INJURY. UROBILINOGEN 0.2

LIVER DYSFUNCTION OR HEMOLYTIC DISEASES ABNORMAL

MICROSCOPIC PUS CELLS RBC BACTERIAL EPITHELIAL MUCUS CAST URINE ELECTROLYTES NA K CL. 4 RBC/HPF 25 -30 HPF 4-6 HPF MANY RARE RARE NONE

NORMAL

81 MMOL/L 22.9 MMOL/L 89 MMOL/L

RANDOM CREATININE

URINE

50 MG/DL

COMPUTED TOMOGRAPHY : CRANIAL CT SCAN

AUG. 26, 2012

IMPRESSION: NO DEFINITE SKULL FRACTURE: INTRACRANIAL HEMORRHAGE OR MIDLINE SHIFT. TINY HYPODENSITIES IN BOTH FRONTO-PARIETAL PERIVENTRICULAR WHITE MATTER, MAY RELATE TO SMALL VESSEL ISCHEMIC CHANGE. AGE RELATED CREBRAL ATROPHY. ATHEROSCLEROTIC CALCIFICATION OF BOTH VERTEBRAL & INTERNAL CAROTID ARTERIES. RADIOLOGIC EXAM : CHEST X-RAY RESULT AUG 26, 2012 IMPRESSION:
AP VIEW NODULO-CALCIFIC DENSITIES, RIGHT PERIHILAR AREA AND RIGHT LOWER LUNG MAY REPRESENT GRANULOMA FORMATION. PROBABLE CARDIOMEGALY

ATHEROMATOUS AORTA CURVILINEAR CALCIFICATION IN THE RIGHT PARATRACHEAL AREA, MAY REPRESENT VASCULAR CALCIFICATION AND CALCIFIC PULMONARY NODULE. BLUNTED COSTOPHRENIC ANGLES, MAY BE DUE TO BILATERAL PLEURAL THICKENING OR MINIMAL PLEURAL EFFUSION MILD DEXTROSCOLIOSIS AND DEGENERATIVE CHANGES OF THE THORACIC SPINE.

NAME OF TEST/PROCEDURE ARTERIAL BLOOD GAS (ABG)

INDICATION FOR TEST/PROCEDURE

THE

NORMAL
FINDINGS

NORMAL VALUES

ACTUAL RESULT/ FINDINGS AUGUST 26, 2012 AUGUST 27, 2012 @ 2:17 PM 197.5 7.442 23.8 16.2 99.4% 5.7 16.9 0.0 9.40 10.8 1.00 AUGUST 27, 2012 @ 5:18 PM 138.9 7.423 26.5 17.3 98.8% -5.0 18.1 0.0 6.614 4.8 1.00

TO

DETERMINE THE ACID-BASE LEVEL OF THE EVALUATES BLOOD. GAS

EXCHANGE IN THE LUNGS BY MEASURING THE PARTIAL PRESSURES OF OXYGEN (PAO2) AND CARBON DIOXIDE

(PACO2) AS WELL AS THE PH OF AN

PO2 PH PACO2 HCO3 SAT. O2 B.E/ B.D TOTAL CO2 AADO2 P/F RATIO AG A/A RATIO

80 TO 100 MM HG 7.34-7.44 35 TO 45 MM HG 22 TO 25 MEQ/L 94% TO 100% 2 TO +2 MMOL/L 23-30 MMOL/L

97.5 7.41 25.2 16.1 97.4% -6.4 16.9 20.4 4.643 6.5 0.83

ARTERIAL

SAMPLE.

PAO2 MEASURES THE

PRESSURE EXERTED BY THE OXYGEN DISSOLVED BLOOD IN THE AND

EVALUATES THE LUNGS ABILITY TO OXYGENATE THE BLOOD.

ELECTROLYTES: NA+ K+ CLCA+1 GLC. LAC.

135-145 mEq/L

113.4 5.22 90.7 1.03 9.3 1.9

121.3 4.81 94.3 0.72 12.3 4.4

117.6 4.45 95.5 0.9 7.8 1.5

INTERPRETATION

COMPENSATORY RESPIRATORY ALKALOSIS.

COMPENSATORY RESPIRATORY ALKALOSIS.

COMPENSATORY RESPIRATORY ALKALOSIS.

SIGNIFICANCE OF
THE

ABNORMAL

ABNORMAL

ABNORMAL

RESULT/ PROCEDURE

AUGUST 27, 2012 @ 5:18 PM