LABS(GC)

Diagnostic radiology Report

(November 21,2013)

CHEST

History: CKDTechnique: PA VIEW

Findings:-Heart is enlarged with prominence of the pulmonary arteries. Cardiomegaly with pulmonary HTN. Considered intercurrent pneumonia not ruled out.-atheromatous aorta-Left costophrenic sulci is blunted effusion is considered

Diagnostic radiology Report

(November 13,2013)

CHEST

-No definite focal lung infiltrates noted-Heart is not enlarged-Atheromatous Aorta-Diaphragm and sulci are intact

Result Normal Range Analysis and InterpretationHEMATOLOGY

12/05/13

Hemoglobin

Hematocrit

Red Blood Cell Count

White Blood Cell

Platelet

51

0.16

2.04

7.70

ADEQUATE

120-160 gm/L

0.37-0.48

4.0-5.4 x1012/L

4.5- 11.0 x10 9/L

150-450 x 10 9/L

Below Normal. A low hemoglobin count might be an indication of anemia. Hemoglobin is a protein that is carried by red cells. It picks up

oxygen in the lungs and delivers it to the peripheral tissues to maintain the viability of

cells.

Below Normal. hematocrit refers to the 'percentage' of one's red blood cells therefore A low hematocrit is referred to as being anemic.

Below Normal. Low RBC count may be an indication of anemia as well as erythropoietin

deficiency secondary to kidney failure

Within Normal Range. White Blood Cells help fight and control infection. They are also

called leukocytes

Within Normal Range. Platelets are the cells that circulate within our blood and bind together when they recognize damaged blood vessels. Platelets’ major role is initiantion of

-Segmenters

-Lymphocytes

-Monocytes

-Eosinophils

0.60

0.31

0.07

0.02

0.50-0.60

0.20-0.50

0.00-0.08

0.00-0.04

clots therefore stopping the bleeding.

Within Normal. this type of WBC are the primary cells that respond to a bacterial infection

Within normal. Lymphocytes are the key WBCs involved in immune responses. this type of WBC represent 20-40% of your circulating WBC in the blood.

Within Normal. Monocytes circulate in the peripheral blood before entering tissues to replenish tissue-specific macrophage populations and they usually comprise 3-8% of all white blood cells in the body.

Within Normal. Eosinophil function include movement to affected and inflamed areas, phagocytosing debris and trapping substances, killing cells, anti parasitic and antibacterial activity. comprises 1 – 6% of all white blood cells in the blood stream.

TEST12/05/13

PT (Prothrombin time)

CONTROL

PERCENT ACTIVITY

INR

10.7

12.2

114%

0.88

10-16 secs.

10-16 secs.

70-130%

0.85-1.15

Within Normal Values. Prothrombin time (PT) is a blood test that measures how long it takes blood to clot. A prothrombin time test can be used to check for bleeding problems. PT is also

Within Normal. Quality Control is the Normal and pathological control plasma..

Within Normal Values, Prothrombin Activity Percentage in reference to a normal plasma (100% activity): a prothrombin activity curve from a pool of normal fresh plasmas

Within Normal. INR (international normalized ratio) stands for a way of standardizing the results of prothrombin time tests, no matter

APTT

CONTROL

24.9

28.0

24-39 secs.

24-39 secs.

the testing method

Within Normal Range. The activated partial thromboplastin time (aPTT) is a test performed to investigate bleeding disorders and to monitor patients taking an anticlotting drug such as heparin which inhibits factors X and thrombin, while activating anti-thrombin.

Within Normal. Quality Control is the Normal and pathological control plasma..

TEST12/05/13

Potassium ( K ) 5.50 3.5-5.3 Meq/LWithin Normal Range This test measures the

amount of potassium in the fluid portion

(serum) of the blood. Potassium (K+) helps

nerves and muscles communicate. It also

helps move nutrients into cells and waste

products out of cells.

Potassium levels in the body are mainly

controlled by the hormone aldosterone.

Inorganic Phosphorus 6.06 2.6-4.5 mg/dL

Higher than normal. The kidneys excrete phosphate. Therefore, the most common cause of increased phosphate levels (or hyperphosphatemia) is the kidney's inability to get rid of phosphate.

HEMATOLOGY11/22/13

Hemoglobin

Hematocrit

White Blood Cells

Segmenters

8.8

0.27

18.3

84

12.0-14.0 g/dL

0.37-0.47

4.8-10.8x 10 9/L

50-70%

Below Normal. A low hemoglobin count might be an indication of anemia. Hemoglobin is a protein that is carried by red cells. It picks up

oxygen in the lungs and delivers it to the peripheral tissues to maintain the viability of

cells.

Below Normal. hematocrit refers to the 'percentage' of one's red blood cells therefore

A low hematocrit is referred to as being anemic.

Higher than Normal. WBCs increase in inflammation, Infection and in dyscrasias

Higher than Normal.High levels of your neutrophils usually

represent and ongoing infection, an inflammation, malignancy, cause by drugs

Lymphocytes

Monocytes

Platelet

14

02

705

25-40%

3-5%

130450x10 9/L

Lower than Normal Low lymphocytes count indicates that the body is low on infection

resistance. This means the body is susceptible to infections like tumors and cancer. Low lymphocytes count can also lead to the

damage of various body organs.

Lower than Normal. Indicates infection. the low monocyte count is due to the relative

expansion of neutrophils

Higher than Normal. The most common cause of an elevated platelet count is iron deficiency

anemia. Some people are born with thrombocytosis. Other causes include chronic infection or inflammation, metastatic cancer,

and essential thrombocythemia, a bone marrow disorder which causes excessive

production of platelets.

Clinical Chemistry11/14/13

ALT/SGPT 14.2 4-38 IU/L Normal.An alanine aminotransferase (ALT) test measures the amount of this enzyme in theblood. ALT is found mainly in the liver, but also in smaller amounts in the kidneys , heart ,

Sodium

Potassium

Chloride

147

4.48

24.1

135-148 mmol/L

3.5-5.3 mmol/L

96-106 mmol/L

muscles, and pancreas . ALT was formerly called serum glutamic pyruvic transaminase (SGPT). ALT is measured to see if the liver is damaged or diseased.

Within Normal. The body uses sodium to control blood pressure and blood volume. Sodium is also needed for your muscles and nerves to work properly

Within Normal Range. Potassium is essential for maintaining proper fluid balance, nerve impulse function, muscle function, cardiac (heart muscle) function.

Lower than Normal. Causes of hypochloremia

may include: Loss of body fluids from

prolonged vomiting, diarrhea, sweating or

high fevers. Drugs such as: bicarbonate,

corticosteroids, diuretics, and laxatives.

Higher than Normal. The blood can be the first

BUN 29.34 2.85-9.28 mmol/L

signal that your kidneys aren’t working as well as they should. The BUN test measures the amount of urea in your bloodstream. Urea is a waste product left over from the protein you eat, which is normally eliminated through the kidneys. High levels of urea mean your kidneys are not getting rid of waste and it remains in the body.

Hematology11-18-13

Hemoglobin

Hematocrit

Red Blood Cell Count

66

0.23

3.00

120-160 gm/L

0.37-0.48

4.0-5.4 x1012/L

Lower than Normal. Below . A low hemoglobin count might be an indication of anemia.

Hemoglobin is a protein that is carried by red cells. It picks up oxygen in the lungs and

delivers it to the peripheral tissues to maintain the viability of cells.

Below Normal. hematocrit refers to the 'percentage' of one's red blood cells therefore A low hematocrit is referred to as being anemic.

Below Normal. Low RBC count may be an indication of anemia as well as erythropoietin

deficiency secondary to kidney failure

White Blood Cell

Platelet

-Segmenters

-Lymphocytes

15.03

455

0.10

0.89

4.5- 11.0 x10 9/L

150-450 x 10 9/L

0.50-0.60

0.20-0.50

Higher Than Normal Range. White Blood Cells help fight and control infection. They are also

called leukocytes. Increase in WBC count might indicate ongoing infection

Higher than Normal Range. Platelets are the cells that circulate within our blood and bind together when they recognize damaged blood vessels. Platelets’ major role is initiantion of clots therefore stopping the bleeding.  slightly elevated platelet counts rarely cause any major problems, and they have many causes. Moderately high platelet counts such as yours sometimes means that another inflammatory disease or infection is ongoing

Within Normal. this type of WBC are the primary cells that respond to a bacterial infection

Higher than Normal. A high lymphocyte count generally means there is an infection somewhere in your body. If it is not very high it means that the infection is mild. If it is really high it means there is a severe infection.

-Monocytes 0.01 0.00-0.08 Within Normal. Monocytes circulate in the peripheral blood before entering tissues to replenish tissue-specific macrophage populations and they usually comprise 3-8% of all white blood cells in the body.

TEST11/14/13

BUN

CREATININE

28.04

0.77

15-43 mg/dL

0.60-1.40 mg/dL

Higher than Normal. The blood can be the first signal that your kidneys aren’t working as well as they should. The BUN test measures the amount of urea in your bloodstream. Urea is a waste product left over from the protein you eat, which is normally eliminated through the kidneys. High levels of urea mean your kidneys are not getting rid of waste and it remains in the body.

Within Normal Range. Creatinine is a waste product that is passed through the kidneys. It is a by-product formed by muscle contractions. It also comes from protein foods we eat, mostly from muscle meats. Women produce less creatinine than men because women have less muscle tissue. When your kidneys are not getting rid of creatinine, it remains in the bloodstream. Increased levels of creatinine may signal that your kidneys

SODIUM (Na)

Potassium (K)

Chloride (Cl)

Total Calcium

138.80

4.53

101.6

10.24

135-148 mEq/L

3.5-5.3 mEq/L

98-107 mEq/L

8.6-10.2 mg/dL

aren’t eliminating this waste, leaving it in the body.

Within Normal Range. The body needs a small amount of sodium to help maintain normal blood pressure and normal function of muscles and nerves.

Within Normal Range. Potassium is essential for maintaining proper fluid balance, nerve impulse function, muscle function, cardiac

(heart muscle) function.

Within Normal Range. Chloride is a type of

electrolyte. It works with other electrolytes

such as potassium, sodium, and carbon

dioxide (CO2). These substances help keep the

proper balance of body fluids and maintain

the body's acid-base balance.

Slightly Higher than normal. A calcium blood test measures the total amount of calcium in your blood. Results of the blood test can show if you have too much or too little calcium in

Total Protein

Albumin

Globulin

9.45

3.95

5.5

6.6-8.8 g/dL

3.5-5.2 g/dL

3.1-3.6 g/dL

your blood. Irregular calcium blood levels rarely present any unusual signs or symptoms, so a calcium blood test may be the only way to detect a potential problem.

Higher than Normal. A total serum protein test measures the total amount protein in the blood. It also measures the amounts of two major groups of proteins in the blood

Within Normal. Albumin is made mainly in the liver. It helps keep the blood from leaking out of blood vessels. Albumin also helps carry some medicines and other substances through the blood and is important for tissue growth and healing.

Higher than Normal. Globulin is made up of different proteins called alpha, beta, and gamma types. Some globulins are made by the liver, while others are made by the immune system Certain globulins bind with hemoglobin. Other globulins transport metals, such as iron, in the blood and help fight infection. Serum globulin can be separated

A/G Ratio

SGPT (ALT)

0.72

18.42

1.12-1.44

<49 U/L

into several subgroups by serum protein electrophoresis One cause of high globulin level in the blood are kidney diseases

Lower than Normal. A low A/G ratio may

reflect overproduction of globulins, such as

seen in multiple myeloma or autoimmune

diseases, or underproduction of albumin, such

as may occur with cirrhosis, or selective loss of

albumin from the circulation, as may occur

with kidney disease (nephrotic syndrome).

Within Normal. Alanine transaminase (ALT) Alanine transaminase (ALT), also called Serum Glutamic Pyruvate Transaminase (SGPT) or Alanine aminotransferase (ALAT) is an enzyme present in hepatocytes (liver cells). When a cell is damaged, it leaks this enzyme into the blood, where it is measured.

TEST11/14/13

12.5 10-16 secs.Within Normal Values. Prothrombin time (PT) is a blood test that measures how long it takes

PT

CONTROL

ACTIVITY

INR

APTT

12.2

97.6%

1.02

24

10-16 secs.

70-130%

0.85-1.15

24-39 secs.

blood to clot. A prothrombin time test can be used to check for bleeding problems. PT is also

Within Normal. Quality Control is the Normal and pathological control plasma..

Within Normal Values, Prothrombin Activity Percentage in reference to a normal plasma (100% activity): a prothrombin activity curve from a pool of normal fresh plasmas

Within Normal. INR (international normalized ratio) stands for a way of standardizing the results of prothrombin time tests, no matter the testing method.

Within Normal Range. The activated partial thromboplastin time (aPTT) is a test performed to investigate bleeding disorders and to monitor patients taking an anticlotting drug such as heparin which inhibits factors X and thrombin, while activating anti-thrombin.

CONTROL24.0 24-39 secs

Within Normal. Quality Control is the Normal and pathological control plasma

TEST11/14/13

CREATININE

SGPT(ALT)

2.60

18.42

0.60-1.40 mg/dL

<49

Higher than Normal. Creatinine is a waste product that is passed through the kidneys. It is a by-product formed by muscle contractions. It also comes from protein foods we eat, mostly from muscle meats. Women produce less creatinine than men because women have less muscle tissue. When your kidneys are not getting rid of creatinine, it remains in the bloodstream. Increased levels of creatinine may signal that your kidneys aren’t eliminating this waste, leaving it in the body.

Within normal. Within Normal. Alanine transaminase (ALT) Alanine transaminase (ALT), also called Serum Glutamic Pyruvate Transaminase (SGPT) or Alanine aminotransferase (ALAT) is an enzyme present in hepatocytes (liver cells). When a cell is damaged, it leaks this enzyme into the blood, where it is measured.

Hematology11/14/13

Blood typing A+

Hematology11/13/13

Hemoglobin

Hematocrit

Red Blood Cell Count

7.3

0.24

2.91

12.0-14.0 g/dL

0.37-0.47

4.20-5.40

Below Normal. Below Normal. A low hemoglobin count might be an indication of

anemia. Hemoglobin is a protein that is carried by red cells. It picks up oxygen in the lungs and delivers it to the peripheral tissues

to maintain the viability of cells.

Below Normal. hematocrit refers to the 'percentage' of one's red blood cells therefore A low hematocrit is referred to as being anemic.

Below Normal. Low RBC count may be an indication of anemia as well as erythropoietin

White Blood Cell

-Segmenters

-Lymphocytes

Eosinophil

-Monocytes

7.3

78

16

2

4

4.8-10.8x 10 9/L

50-70%

25-40%

1-4 %

3-8 %

deficiency secondary to kidney failure

Within Normal Range. White Blood Cells help fight and control infection. They are also

called leukocytes

Higher than Normal. this type of WBC are the primary cells that respond to a bacterial infection. High levels indicate infection

Lower than Normal .A low normal to low absolute lymphocyte concentration is associated with increased rates of infection. Monocytes circulate in the peripheral blood before entering tissues to replenish tissue-specific macrophage populations and they usually comprise 3-8% of all white blood cells in the body.

Within Normal. Eosinophil function include movement to affected and inflamed areas, phagocytosing debris and trapping substances, killing cells, anti parasitic and

MCV

MCH

MCHC

Platelet Count

81.1

25.1

30.9

392

80.0-94.0

27.0-31.0

32.0-36.0

150-400 10 e9/L

antibacterial activity. comprises 1 – 6% of all white blood cells in the blood stream.

Within Normal. mean corpuscular volume, or "mean cell volume" (MCV), is a measure of the average red blood cell volume that is reported as part of a standard complete blood count.

Lower than Normal. lThe mean corpuscular hemoglobin concentration, a measure of the concentration of hemoglobin in a given volume of packed red blood cells

Lower than Normal. The mean corpuscular hemoglobin concentration, a measure of the concentration of hemoglobin in a given volume of packed red blood cells.

Within Normal Range. Within Normal Range. Platelets are the cells that circulate within our blood and bind together when they recognize damaged blood vessels. Platelets’ major role is initiantion of clots therefore stopping the bleeding.

Immunology and Serology7/13/13

Anti HCV

HBsAg II

0.15(NON REACTIVE)

0.48(NON REACTIVE)

Less than 1

Less than 1

Non-reactive, Patient doesn’t have presence of HepaC

Non-reactive. The patient doesn’t have presence of HepaB

Hematology 7/22/13

RBC

Hgb

Hct

3.29

7.9

0.626

4.2-5.4 x 1o e 12

12-16 g/dL

0.36-0.46

Below Normal. Low RBC count may be an indication of anemia as well as erythropoietin deficiency secondary to kidney failure

Below Normal. A low hemoglobin count might be an indication of anemia. Hemoglobin is a protein that is carried by red cells. It picks up

oxygen in the lungs and delivers it to the peripheral tissues to maintain the viability of

cells.

Below Normal. hematocrit refers to the 'percentage' of one's red blood cells thereforeA low hematocrit is referred to as being anemic.

WBC

MCV

MCH

MCHC

8.2

76.9

24.0

30.2

4.6-10.2 10 e9/L

85-95 fL

27-33 pg

32-36 g d/L

Within Normal Range. White Blood Cells help fight and control infection. They are also

called leukocytes

Lower than normal. mean corpuscular volume, or "mean cell volume" (MCV), is a measure of the average red blood cell volume that is reported as part of a standard complete blood count. The most common causes of microlytic anemia are iron deficiency (due to inadequate dietary intake, gastrointestinal blood loss or menstrual blood loss) thalassemia, sideroblastic anemia or chronic disease.

Lower than Normal. The mean corpuscular hemoglobin concentration, a measure of the concentration of hemoglobin in a given volume of packed red blood cells. When low, indicative of anemia.

Lower than normal. The mean corpuscular hemoglobin concentration, a measure of the concentration of hemoglobin in a given volume of packed red blood cells. When low indicates anemia

Neutrophils

Lymphocytes

Monocytes

Eosinophils

Platelet Count

0.71

0.19

0.03

0.07

397

0.4-0.6

0.2-0.4

0.02-0.08

0.01-0.06

150-400 10 e9/L

Slightly Higher than Normal. A high neutrophil count may indicate ongoing infection

Slightly Lower than Normal. A low normal to low absolute lymphocyte concentration is associated with increased rates of infection

Within Normal Range. Monocytes circulate in the peripheral blood before entering tissues to replenish tissue-specific macrophage populations and they usually comprise 3-8% of all white blood cells in the body

Slighltly elevated than Normal. A high number of eosinophils (eosinophilia) is often linked to allergic diseases and infections

Within Normal Range. Within Normal Range. Platelets are the cells that circulate within our blood and bind together when they recognize damaged blood vessels. Platelets’ major role is initiantion of clots therefore stopping the bleeding.

Cross matching Report 11/20/13

Name: J.M.Age: 43 Sex: Female

Patient’s Blood type : A+ Amount Component: 1 PRBCDonor’s Blood type: A+ Date of extraction: 11/10/13Blood bank: PNRC Date of Expiration: 12/14/13Serial Number: 1018-01544-0 Segment Order: R375 1049