IV.

RATIONAL LABORATORY & DIAGNOSTIC TESTS

PATIENT
NORMAL
LAB. TEST
INTERPRETATION/NECESSITY
RESULTS
VALUES
CBC with Differentials:
Complete Blood Count done in order
to assess the stability and condition
Hemoglobin
6g%
12.015.8
of the cells in the blood. The
g/dL
Hematocrit
18 vol %
35.444.4 % numbers highlight on the previous
columns indicates the patients
Total WBC
12,000/cum
4000-9000
values with abnormal high or low
m
mm3
values.
80
55-70%
*In our case, patient has decrease
Segmenters
Hb and hct due to bleeding due to
20
20-30%
hemoptysis that the patient
Lymphocytes
experienced which may prompt an
Eosinophil
0
0-6%
immediate blood transfusion
Monocyte
-1-4%
Basophil
-0-3%
Platelet count
212,000
165415
109/L
Blood Glucose Test
Amount of glucose (sugar,
measured in mg/dL) in your blood
Random blood
156
<140
changes throughout the day and
Glucose
night.
*In our case patient has slightly
increase blood glucose, which in a
prediabetic stage
Kidney Function Test
Creatinine to determine the degree
of muscle wasting and also to detect
Creatinine
0.9
0.5-0.9 g/dl
the glomerular filtration rate (GFR).
Uric Acid
8.0
2.36.6
Uric acid is the final oxidation of
mg/dL
purine metabolism that is excreted
in the urine. A buildup of uric acid in
the blood can be result of increase
production of the compound or
decreased excretion from the kidney
*patient has elevated Uric acid
which may lead to gouty arthritis
Liver Function Test
It is commonly measured clinically
as a part of a diagnostic evaluation
SGPT
24 mg/dl
7-41 U/L
of hepatocellular injury, to
determine liver health.
Normal liver function test
Electrolytes
Measurement of serum sodium,
potassium is performed when the
Sodium
142 meq/ L
135-145
patient has symptoms of sodium and
meq /L
potassium and to assess hydration
Potassium
4.0 meq/L
3.5-5.0
status.
meq/L
*normal electrolyte balance
Urinalysis
Urinalysis detects substances or
cellular material in the urine
associated with different metabolic
and kidney disorders or any
disorders in the urinary system.
*patient has normal UA result
Sp. Gravity

1.020

1.015-1.025

COST
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220.00

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100

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390.00

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290.00

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60.00

pH
Blood
Leukocytes
Red cells
Arterial Blood Gas

6.0
Negative
0-1
0-2/hpf

4.6-8.0
Negative
1-4/hpf
2-4/hpf

pH
pCO2
pO2

7.46
34 mmHg
76mmHg

HCO3
CO2
BE
O2 saturation
Coagulation Test:

22 meq/L
21 meq/L
-2
95%

Prothrombin
Bleeding Time
Clotting Time
INR
Blood Typing
ABO

92%
3 min
6 min
1.0
B positive

80 -120%
3-8 min
2-6 min
0.9-1.2
A, B, O

SPUTUM exam

Gram stain:
squamous
epithelial
cells <10/lpf
WBC: >
25/lpf,
numerous
grams
positive cocci
in chains.
Occasional
fungal
hyphae. AFB

Presence or
absence of
normal
respiratory
flora is
reported.

ABGs are performed when

information is needed regarding the
acid-base status of the patient. The
acid base balance of the body is
controlled via 3 mechanisms: the
buffering system, the respiratory
and the renal system
Base on the pH the patient is
experiencing Respiratory alkalosis
with no compensation
7.35 7.45
35-45
75100mmHg
22-26meq/L
-2/+2
95-100%
Useful for evaluating how well the
coagulation process is functioning
and detecting bleeding disorders
caused by either deficient or
defective coagulation factors that
compose the extrinsic system.
Patient has normal coagulation
studies

No presence
of disease
causing
organism in
the sputum

To determine what specific blood

type a person has based on the
antigens presented on the red blood
cells and also to prepare the blood
bank to acquire the necessary blood
needed by the patient for the
procedure.

Sputum culture is a test to detect and

identify bacteria or fungi that are infecting
the lungs, the type of bacterium or
fungus will be identified with a
microscope or by chemical tests.
*sputum culture is ordered to find and
identify bacteria or fungi that are causing
an infection of the lungs or the airways
leading to the lungs. Identify the best
medication to treat the infection
(sensitivity testing) and monitor treatment
of an infection.

Php
390.00

Php
60.00

Chest X-ray (PA)

smears
negative 3x.
Rounded or ovoid soft
tissue attenuating masses
located in a surrounding
cavity and outlined by a
crescent of air in the right
upper lung field.

CT scan of the
Chest

well formed cavity with a

central soft tissue
attenuating rounded mass
surrounded by an crescent
of air (Monad sign) in the
right upper lung

12 leads EKG

Sinus Tachycardia with

anterior wall ischemia

Chest radiographs are used to

identify abnormalities of the lungs
and other
structures in the thorax, including
the heart, ribs, and diaphragm.
*in a patient, a mass is detected in
the Xray which is suspected in a
patient is aspergilloma
CT images can be combined to
create 3-D images. CT scan images
can provide much more information
than do plain X-rays. CT scan can be
used to visualize nearly all parts of
the body.
In our case patient, the diagnosis of
aspergiloma is confirm by the use of
CT scan
Tachycardia is a compensatory
mechanism of the heart because
patient is bleeding. The cause of
anterior wall ischemia is possible
from the hypotension experience by
the patient which decrease the
perfusion of the heart muscle
specifically of the anterior wall which
is supplied by the LAD

PHP
240

PHP
250