Lab Results

Name: Mr. X Age: 80 y/o Sex: M Date: September 24, 2013

Hematology Section
Test Result Reference Value Clinical Significance
WBC 11.1 10^3 g/L 4.23-9.07 The increased WBC production
indicates the body is defending
itself against an infection
RBC 4.3 10^6 g/L 4.63-6.08 Suggests anemia, body may not
be getting the amount of
oxygen it needs
Hemoglobin 122 g/L 137-175
Hematocrit 0.392 0.4-0.5 Hct measures the amount of
space red blood cells take up in
the blood.
Neutrophils 77.7 % 34.0-67.9 Increased amount indicates
infection
Lymphocytes 11.1 % 21.8-53.1 infection
Basophils 0.1 % 0.2-1.2 Decreased amount may
indicate an allergic reaction

Name: Mr. X Age: 80 y/o System Examined: Chest Date: September 24, 2013

Ultrasound Result
-Small right sided pleural effusion with a computed volume of 380cc
-No distinct lung mass
-Note of tiny dense modules, right hepatic lobe, measuring up to 0.6 cm; suggestive of metastasis.












Body Fluid Analysis
Date: September 23, 2013
Specimen: Pleural Fluid
Color: Light Yellow Amount: 6 cc
Character: Slightly Turbid Cell Count: RBC-370
-turbid appearance may indicate infection WBC-28
Differential Count: Segmenters
Lymphocytes: 90%










Sample Fluid: CSF
Date: September 23, 2013



TEST NAME RESULT REF. INTERVAL INTERPRETATION
Total Protein 10 6.0-8.3 g/L The low Total protein level
may indicate chronic
inflammation or infection
Albumin 3 34-50 g/L The low albumin level may
suggest problems in its
production or elimination.










Name: Mr. X
Age: 80 y/o
Date: September 23, 2010
Sample Fluid: BLOOD SERUM














TEST NAME RESULT REF. INTERVAL INTERPRETATION
Total Protein 44 64-82 g/L May cause third spacing
Albumin 15 34-50 g/L May cause third spacing
Albumin/Globulin Ratio

0.5 1.0-2.0 decreased A/G ratio
suggests a metastatic
disease
Name: Mr. X
Date: September 21, 2013
CT SCAN RESULT
-Included liver shows small (0.5cm) hypodense nodules in the right hepatic lobe
IMPRESSION
-Fibrosis, middle lobe
-Moderate pleural effusion, right. Mild pleural effusion, left
-Small hypodense nodules, right hepatic lobe, may represent metastatic foci. Review of the previous abdominal scan dated
September 17, 2013, these nodules were not distinctly demonstrated, likely due to variation in slice thickness









Name: Mr. X
Age: 80 y/o
Date: September 20, 2013
Hematology Section

Test Result Reference Value Clinical Significance
WBC 13.3 10^3/uL 4.23-9.07 The increased WBC production
indicates the body is defending
itself against an infection
RBC 3.9 10^6/uL 4.63-6.08
Hemoglobin 110 g/L 137-175 Suggests anemia, body may not
be getting the amount of
oxygen it needs
Hematocrit 0.354 0.4-0.5 Hct measures the amount of
space red blood cells take up in
the blood.
Neutrophils 83.8 % 34.0-67.9 Increased amount indicates
infection
Lymphocytes 8.5 % 21.8-53.1 infection
Monocytes 4.2 % 5.3-12.2 May put client at greater risk of
infection due to decreased
amount
Basophils 0.1% 0.2-1.2 Decreased amount may indicate
an allergic reaction



Name: Mr. X Age: 80 y/o Sex: M Date: September 19, 2013
Urinalysis
Physical Examination Microscopic Examination
Color: Yellow Pus Cells: 2-3
Transparency: Turbid Red Blood Cells: 0-2
Epithelial Cells: Few
Amorphous Urates/ Phosphates: Few












Name: Mr. X Age: 80 y/o Date: September 23, 2010 Sample Fluid: SERUM










TEST NAME RESULT REF. INTERVAL INTERPRETATION
Alkaline Phosphatase 148 50-136 U/L Abnormal levels of ALP in
your blood most often indicate
a problem with your liver
and/or bones. However, they
may also indicate malnutrition,
kidney tumors, or a serious
infection.
Albumin/Globulin Ratio 17 34-50g/L decreased A/G ratio suggests
a metastatic disease
Name: Mr. X Age: 80 y/o Sex: M
Date: September 16, 2013

Hematology Section

Test Result Reference Value Clinical Significance
WBC 11.8 10^3/uL 4.23-9.07 The increased WBC production
indicates the body is defending
itself against an infection
RBC 3.5 10^6/uL 4.63-6.08
Hemoglobin 97 g/L 137-175 Suggests anemia, body may not
be getting the amount of
oxygen it needs
Hematocrit 0.319 0.4-0.5 Hct measures the amount of
space red blood cells take up in
the blood.
MCHC 30.4 g/dL 31-37
Neutrophils 89.2% 34.0-67.9 Increased amount indicates
infection
Lymphocytes 8.8 % 21.8-53.1 infection
Monocytes 1.9% 5.3-12.2 infection




Name: Mr. X Age: 80 y/o Sex: M Date: September 13, 2013
Radiology Report
Findings:
Pneumonia, Right Lower Lung
Small nodular lesion, left lower lung
Atheromatous aorta

Name: Mr. X Age: 80 y/o Sex: M Date: September 16, 2013
Colonoscopy Report
Clinical Data:
w/ abdominal pain
w/ abdominal mass
w/ GI bleeding
w/ bowel habit changes
w/ weight loss
Rectal Exam:
(+) palpable nodular mass o digital rectal exam
Findings:
The scope was inserted up to 35 cm level. There was fecal material seen in the ____ indicating the need for further examination of the
colon.



Name: Mr. X Age: 80 y/o Sex: M Date: September 16, 2013
Doppler Study
Conclusion:
Concentric left ventricular remodeling with adequate overall systolic function with signs left ventricular diastolic dysfunction (Grade
1)
Aortic Sclerosis with mild aortic regurgitation
Mitral Sclerosis with mild mitral regurgitation
Tricuspid regurgitation, mild to moderate
Aneurysmally dilated aorta at the level of the sinus of valsalva (4.14cm)





Name: Mr. X Age: 80 y/o Sex: M Date: September 17, 2013
CT-Scan Result
Whole abdominal ct-scan with oral and IV contrasts
Findings:
There is an abnormal circumferential thickening of the rectum with a maximum thickness of 2.5cm. The rectal lumen is
markedly narrowed. There is associated perirectal fat stranding. Stomach is collapsed at the time of examination. Osteophytes are
seen in the lumbar bodies. Abdominal aorta is calcified.
Clinical Impression:
Large mass involving the rectum causing significant luminal narrowing associated with perirectal fat stranding. Consider primary
rectal tumor.










Name: Mr. X Age: 80 y/o Sex: M Date: September 14, 2013
Tumor Markers

TEST NAME RESULT REFERENCE VALUE INTERPRETATION
CEA 9.22 0-4.70 ng/ml - CEA measurement is mainly
used as a tumor marker to monitor
colorectal carcinoma treatment, to
identify recurrences after surgical
resection, for staging or to localize
cancer spread through
measurement of biological fluids.











Name: MR. X Age: 80 y/o Date: September 13, 2013 Sample Fluid: SERUM










TEST NAME RESULT REF. INTERVAL INTERPRETATION
Alanine Aminotransferase 25 30-65 U/L Alanine Aminotransferase is
measured to see if the liver is
diseased/damaged. Low
levels are usually found in
the blood
Creatinine 131 53-115 umol/L -A high creatinine level may
indicate the kidney may not
be functioning well.


Name: Mr. X Age: 80 y/o Sex: M Date: September 13, 2013

Hematology Section
Test Result Reference Value Clinical Significance
WBC 12.7 10^3/uL 4.23-9.07 The increased WBC production
indicates the body is defending
itself against an infection
RBC 3.7 10^6/uL 4.63-6.08
Hemoglobin 106 g/L 137-175 Suggests anemia, body may not
be getting the amount of
oxygen it needs
Hematocrit 0.346 0.4-0.5 Hct measures the amount of
space red blood cells take up in
the blood.
MCV 93.3 fl 79.0-92.2 The most common causes of
microcytic anemia are iron
deficiency (due to inadequate
dietary intake, gastrointestinal
blood loss, or menstrual blood
loss)
MCHC 30.6 31-37 Blood loss, such as what might
occur with tumors in the colon
and other parts of
gastrointestinal tract, can cause
low iron levels and a low
MCHC.
Neutrophils 69.6 % 34.0-67.9 Increased amount indicates
infection
Lymphocytes 16.1 % 21.8-53.1 infection

Name: Mr. X Age: 80 y/o Sex: M

Result
Normal
Findings
Interpretation
Color
Yellowish brown with gross
blood
brown
May indicate conditions which affects the lower GIT causing
bleeding.
Consistency Hard with pencil like appearance

May indicate bowel or rectal obstruction.
Muscle
fiber
few

May indicate infection
Pus cells 6-8

May indicate infection
Bacteria +++

May indicate infection
Red cells +++++

May indicate lower GIT bleeding