COMPLETE BLOOD COUNT (CBC)The complete blood count or CBC test is used as a broad screening test to check for such disorders asanemia, infection, and many other diseases.

DATE REQUESTED: 11/20/12RESULTNORMAL VALUEINTERPRESIGNIFICANCE

Hemoglobin113140-170g/L M 120-170 g/L FDecreasedIndicates tissue damages

Hematocrit.3120.40-0.50 M0.37-0.47 FDecreasedIndicates tissue damages

RBC count3.954-5.5 x 1012/ LDecreasedIndicates destruction of RBC

WBC count13.25.0-10.0 x 109/ LIncreasedDue to presence of inflammation

Differential count

Neutrophils71.354-62%IncreasedDue to presence of inflammation

Lymphocytes21.120-40%Normal

Monocytes 5.730.00-5.00%IncreasedDue to presence of inflammation

Eosinophile.9650.00-4.00%Normal

Basophiles.9030.00-1.00%Normal

MCV88.980-98 flNormal

MCH29.426-32pgNormal

MCHC331320-360 g/LNormal

Platelet count217150-400 x 109/ LNormal

CK-MB test

CK-MB is usually ordered along withtotal CKin persons with chest pain to determine whether the pain is due to aheart attack. It may also be ordered in a person with a high CK to determine whether damage is to the heart or other muscles.

DATE REQUESTED: November 20, 2012SPECIMEN: SERUM

Test nameResultReference valuesconventionalReference valuesINTERPRETATION

CK-MB14.70 U/L0-2414.70 U/L0-24Normal

Comments: TROPONIN I (QUANTITATIVE) 0.0 ng/ml

MAGNESUIM, POTASSIUM AND CALCUIM TEST

Potassium testing is frequently ordered, along with otherelectrolytes, as part of a routine physical. It is used to detect concentrations that are too high (hyperkalemia) or too low (hypokalemia). Magnesium test is used to measure the level of magnesium in the blood. Abnormal levels of magnesium are most frequently seen in conditions or diseases that cause impaired or excessive excretion of magnesium by the kidneys or that cause impaired absorption in the intestines. A blood calcium test is ordered to screen for, diagnose, and monitor a range of conditions relating to the bones, heart, nerves, kidneys, and teeth.DATE REQUESTED: November 21, 2012SPECIMEN: SERUM

Test nameResultReference valuesconventionalReference valuesINTERPRETATION

Magnesium0.86 mmol/L.7-1.152.09mmol/L1.7-2.8Normal

Potassium3.87 mmol/L3.5-5.13.87 mmol/L3.5-5.1Normal

Calcium2.06 mmol/L2.1-2.68.24mg/dl8.4-10.2Decreased, due to obstruction at the coronary arteries hence increases the demand for more calcium usage.

COMMENTS: TROPONIN I: QUANTITATIVE0.0 NG/ML (reference value: less than 0.6 ng/mL)

CHEST X-RAY (CHEST RADIOGRAPHY)

The chest x-ray is the most commonly performed diagnostic x-ray examination. A chest x-ray makes images of the heart,lungs, airways, blood vessels and the bones of the spine and chest.

Examination Done: CXR PAL, APICOLORDOTIC VIEW

CHESTBoth lungs are clearThe heart is not enlargedAorta is the scleroticRests of the thoracic structures are unremarkable

IMPRESSION: ATHEROMATOUS AORTA

APLVApicolordotic view shows no evidence of apical lung infiltrates.

Creatinine blood test

Creatinine is a breakdown product of creatine, which is an important part of muscle. Creatinine blood test isto assess kidney function.

NAME: E.N.AGE: 58 yrs oldSEX: FEMALEDATE REQUESTED: November 05, 2012SPECIMEN: SERUM

Test nameResultReference rangeINTERPRETATION

Creatinine57 mmol/L53-133 mmol/LNormal

Abdominal CT scan

An abdominal CT scan is an imaging method that uses x-rays to create cross-sectional pictures of the belly area.DATE REQUESTED: 11/06/12

Findings:

The liver is normal size and shape. The density of the parenchyma is within normal. No mass or dilated intrahepatic ducts appreciated.The pancreas is normal in size and configuration. There is no dilation of the pancreatic duct. No mass demonstrated in the parenchyma.The spleen and adrenal glands are unremarkable.No mass noted.Kidneys are normal in size and show good excretory functions. No mass or hydronephrosis seen. Urinary collecting structures and urinary bladder are not unusual. There is a subcentimeter cyst in the right lower pole cortex.There are no enlarged intra-abdominal or retroperitoneal lymph nodes. Vascular structures are intact.Omentum and mesentery appear normal.No abnormality observed in the visualized stomach and intestines.Stomach and bowel loops are not unusual.Rest of the soft tissue and osseous structures are unremarkable.

Conclusion:

Small right renal cortical cystNegative for adrenal mass

Urine metanephrines test

Urine metanephrines testing is primarily used to help detect and rule outpheochromocytomasin symptomatic people. It may also be ordered to help monitor the effectiveness of treatment when a pheochromocytoma is removed to monitor for recurrence.

DATE REQUESTED: 11/10/12

Sample Type: 24 Hour UrineTotal Volume: 1290 ml

Test nameResultUnitReference intervalINTERPRETATION

Urine Metenephrine0.39mg/L0-0.90Normal

Metenephrine0.51mg/24 hour0-0.90Normal

24 Hour Urine Creatinine

This test measures creatinine (a product of protein breakdown) in urine. It is used to determine glomerular filtration rate, which helps to measure how well the kidney functions.

DATE REQUESTED: 11/10/12

Sample Type: 24 Hour UrineTotal Volume: 1290 ml

Test nameResultUnitReference rangeINTERPRETATION

24 Hour Urine Creatinine6.45mmol/24hrs7.07-15.91Decreased, due to Reduced blood flow to the kidney