Ijpr 2016 134

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S40 - LPL-PANIPAT
SCF -35,GROUND FLOOR,SECTOR-11,NEAR
NEW ANGEL MALL,HUDA,Ph
7290015263,7290094876
PANIPAT 132103
Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Received : 10/7/2018 9:40:55AM
Lab No. : 141003572 Age: 20 Years Gender: Male Reported : 10/7/2018 7:36:17PM
A/c Status : P Ref By : Dr. AMAR JEET SINGH Report Status : Interim
Test Name Results Units Bio. Ref. Interval
SWASTH SUPER 4
LIVER & KIDNEY PANEL, SERUM

(Spectrophotometry, Indirect ISE)
Bilirubin Total 0.59 mg/dL 0.30 - 1.20
Bilirubin Direct 0.13 mg/dL <0.20
Bilirubin Indirect 0.46 mg/dL <1.10
AST (SGOT) 11 U/L <50
ALT (SGPT) 11 U/L <50
GGTP 14 U/L <55
Alkaline Phosphatase (ALP) 114 U/L 30 - 120
Total Protein 8.18 g/dL 6.40 - 8.30
Albumin 4.01 g/dL 3.50 - 5.20
A : G Ratio 0.96 0.90 - 2.00
Urea 30.00 mg/dL 17.00 - 43.00
Creatinine 0.48 mg/dL 0.67 - 1.17
Uric Acid 6.60 mg/dL 3.50 - 7.20
Calcium, Total 9.94 mg/dL 8.80 - 10.60
Phosphorus 3.50 mg/dL 2.40 - 4.40
Sodium 134.70 mEq/L 136.00 - 146.00
Potassium 4.34 mEq/L 3.50 - 5.10
Chloride 96.40 mEq/L 101.00 - 109.00
THYROID PROFILE,TOTAL, SERUM

(Chemiluminescent Immunoassay)
T3, Total 0.86 ng/mL 0.8 - 2.1
T4, Total 12.63 ug/dL 5.01 - 12.01
TSH 1.59 uIU/mL 0.70 - 6.40
Note
1. TSH levels are subject to circadian variation, reaching peak levels between 2 - 4.a.m. and at a
minimum between 6-10 pm . The variation is of the order of 50%, hence time of the day has
influence on the measured serum TSH concentrations.
2. Recommended test for T3 and T4 is unbound fraction or free levels as it is metabolically active.
3. Physiological rise in Total T3 / T4 levels is seen in pregnancy and in patients on steroid therapy.
PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
*141003572* Page 1 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM
Clinical Use
· Primary Hypothyroidism
· Hyperthyroidism
· Hypothalamic - Pituitary hypothyroidism
· Inappropriate TSH secretion
· Nonthyroidal illness
· Autoimmune thyroid disease
· Pregnancy associated thyroid disorders
· Thyroid dysfunction in infancy and early childhood
PatientReportSCSuperPanel.GENERAL_PANEL_ANALYTE_SC (Version: 6)
*141003572* Page 2 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM
COMPLETE BLOOD COUNT (CBC)

(Electrical Impedence,Flow Cytometry,SLS)
Hemoglobin 15.10 g/dL 13.00 - 17.00

Packed Cell Volume (PCV) 48.40 % 40.00 - 50.00
RBC Count 5.69 mill/mm3 4.50 - 5.50
MCV 85.10 fL 80.00 - 100.00
MCH 26.50 pg 27.00 - 32.00
MCHC 31.20 g/dL 32.00 - 35.00
Red Cell Distribution Width (RDW) 12.70 % 11.50 - 14.50
Total Leukocyte Count (TLC) 7.52 thou/mm3 4.00 - 10.00
Differential Leucocyte Count (DLC)
Segmented Neutrophils 62.10 % 40.00 - 80.00
Lymphocytes 23.10 % 20.00 - 40.00
Monocytes 11.80 % 2.00 - 10.00
Eosinophils 2.90 % 1.00 - 6.00
Basophils 0.10 % <2.00

Absolute Leucocyte Count
Neutrophils 4.67 thou/mm3 2.00 - 7.00

Lymphocytes 1.74 thou/mm3 1.00 - 3.00
Monocytes 0.89 thou/mm3 0.20 - 1.00
Eosinophils 0.22 thou/mm3 0.02 - 0.50
Basophils 0.01 thou/mm3 0.01 - 0.10

Platelet Count 466.0 thou/mm3 150.00 - 450.00
Note
1. As per the recommendation of International council for Standardization in Hematology, the differential
leucocyte counts are additionally being reported as absolute numbers of each cell in per unit volume of
blood
2. Test conducted on EDTA whole blood
*141003572* Page 3 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM
HbA1c (GLYCOSYLATED HEMOGLOBIN), BLOOD 13.7 %

(HPLC)
Result Rechecked,
Please Correlate Clinically.
Note:- Urgent repeat advise in case there is no clinical correlation.
Interpretation
-------------------------------------------------------------------------------
| As per American Diabetes Association (ADA) |
|-------------------------------------------------------------------------------|
| Reference Group | HbA1c in % |
|-------------------------------|-----------------------------------------------|
| Non diabetic adults >=18 years| <5.7 |
|-------------------------------|-----------------------------------------------|
| At risk (Prediabetes) | 5.7 - 6.4 |
|-------------------------------|-----------------------------------------------|
| Diagnosing Diabetes | >= 6.5 |
|-------------------------------|-----------------------------------------------|
| Therapeutic goals for glycemic| Age > 19 years |
| control | . Goal of therapy: < 7.0 |
| | . Action suggested: > 8.0 |
| | |
| | Age < 19 years |
| | . Goal of therapy: <7.5 |
-------------------------------------------------------------------------------
Note: 1. Since HbA1c reflects long term fluctuations in the blood glucose concentration, a
diabetic patient who is recently under good control may still have a high concentration of
HbA1c. Converse is true for a diabetic previously under good control but now poorly
controlled .
2. Target goals of < 7.0 % may be beneficial in patients with short duration of diabetes, long
life expectancy and no significant cardiovascular disease. In patients with significant
complications of diabetes, limited life expectancy or extensive co-morbid conditions,
targeting a goal of < 7.0 % may not be appropriate.
Comments
HbA1c provides an index of average blood glucose levels over the past 8 - 12 weeks and is a much better
indicator of long term glycemic control as compared to blood and urinary glucose determinations.
ADA criteria for correlation between HbA1c & Mean plasma glucose levels
---------------------------------------
| HbA1c(%) | Mean Plasma Glucose (mg/dL)|
PatientReportSCSuperPanel.HBELECTRO_SC (Version: 7)
*141003572* Page 4 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM

|----------|----------------------------|
| 6 | 126 |
|----------|----------------------------|
| 7 | 154 |
|----------|----------------------------|
| 8 | 183 |
|----------|----------------------------|
| 9 | 212 |
|----------|----------------------------|
| 10 | 240 |
|----------|----------------------------|
| 11 | 269 |
|----------|----------------------------|
| 12 | 298 |
---------------------------------------
PatientReportSCSuperPanel.HBELECTRO_SC (Version: 7)
*141003572* Page 5 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM
LIPID SCREEN, SERUM

(Enzymatic)
Cholesterol, Total 178.00 mg/dL <200.00
Triglycerides 158.00 mg/dL <150.00
HDL Cholesterol 37.00 mg/dL >40.00
LDL Cholesterol, Calculated 109.40 mg/dL <100.00
VLDL Cholesterol,Calculated 31.60 mg/dL <30.00
Interpretation
-------------------------------------------------------------
| REMARKS | TOTAL | TRIGLYCERIDE | LDL CHOLESTEROL|
| | CHOLESTEROL| in mg/dL | in mg/dL |
| | in mg/dL | | |
|----------------|------------|--------------|----------------|
| Optimal | <200 | <150 | <100 |
|----------------|------------|--------------|----------------|
| Above Optimal | - | - | 100-129 |
|----------------|------------|--------------|----------------|
| Borderline High| 200-239 | 150-199 | 130-159 |
|----------------|------------|--------------|----------------|
| High | >=240 | 200-499 | 160-189 |
|----------------|------------|--------------|----------------|
| Very High | - | >=500 | >=190 |
-------------------------------------------------------------
Note
1. Measurements in the same patient can show physiological & analytical variations. Three serial
samples 1 week apart are recommended for Total Cholesterol, Triglycerides, HDL & LDL Cholesterol.
2. ATP III recommends a complete lipoprotein profile as the initial test for evaluating cholesterol.
3. Friedewald equation to calculate LDL cholesterol is most accurate when Triglyceride level is < 400
mg/dL. Measurement of Direct LDL cholesterol is recommended when Triglyceride level is > 400
mg/dL.
VITAMIN B12; CYANOCOBALAMIN, SERUM 88.00 pg/mL

(CLIA)
PatientReportSCSuperPanel.SP_GENERAL_TEMPLATE01_SC (Version: 7)
*141003572* Page 6 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM

Interpretation
-------------------------------------------
| RESULT | REFERNCE RANGE IN pg/ml |
|----------------|--------------------------|
| Normal | 180 - 914 |
|----------------|--------------------------|
| Indeterminate | 145 - 180 |
|----------------|--------------------------|
| Deficient | <145 |
-------------------------------------------
Note: To differentiate vitamin B12 & folate deficiency, measurement of Methyl malonic acid in urine & serum
Homocysteine level is suggested
Comments
Vitamin B12 performs many important functions in the body, but the most significant function is to act as
co-enzyme for reducing ribonucleotides to deoxyribonucleotides, a step in the formation of genes. Inadequate
dietary intake is not the commonest cause for cobalamine deficiency. The most common cause is
malabsorption either due to atrophy of gastric mucosa or diseases of terminal ileum. Cobalamine deficiency
leads to Megaloblastic anemia and demyelination of large nerve fibres of spinal cord. Normal body stores are
sufficient to last for 3-6 years. Sources of Vitamin B12 are liver, shellfish, fish, meat, eggs, milk, cheese &
yogurt.
Decreased Levels
· Lack of Intrinsic factor: Total or partial gastrectomy, Atrophic gastritis, Intrinsic factor antibodies
· Malabsorption: Regional ileitis, resected bowel, Tropical Sprue, Celiac disease, pancreatic
insufficiency, bacterial overgrowth & achlorhydria
· Loss of ingested vitamin B12: fish tapeworm
· Dietary deficiency: Vegetarians
· Congenital disorders: Orotic aciduria & transcobalamine deficiency
· Increased demand: Pregnancy specially last trimester
Increased Levels
Chronic renal failure, Congestive heart failure, Acute & Chronic Myeloid Leukemia, Polycythemia vera,
Carcinomas with liver metastasis, Liver disease, Drug induced cholestasis & Protein malnutrition
VITAMIN D, 25 - HYDROXY, SERUM 30.68 nmol/L

(Chemiluminescence)
*141003572* Page 7 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM
Interpretation
-------------------------------------------------------------
| LEVEL | REFERENCE RANGE | COMMENTS |
| | IN nmol/L | |
|---------------|-----------------|---------------------------|
| Deficient | < 50 | High risk for developing |
| | | bone disease |
|---------------|-----------------|---------------------------|
| Insufficient | 50-74 | Vitamin D concentration |
| | | which normalizes |
| | | Parathyroid hormone |
| | | concentration |
|---------------|-----------------|---------------------------|
| Sufficient | 75-250 | Optimal concentration |
| | | for maximal health benefit|
|---------------|-----------------|---------------------------|
| Potential | >250 | High risk for toxic |
| intoxication | | effects |
-------------------------------------------------------------
Note
· The assay measures both D2 (Ergocalciferol) and D3 (Cholecalciferol) metabolites of vitamin D.
· 25 (OH)D is influenced by sunlight, latitude, skin pigmentation, sunscreen use and hepatic function.
· Optimal calcium absorption requires vitamin D 25 (OH) levels exceeding 75 nmol/L.
· It shows seasonal variation, with values being 40-50% lower in winter than in summer.
· Levels vary with age and are increased in pregnancy.
· A new test Vitamin D, Ultrasensitive by LC-MS/MS is also available
Comments
Vitamin D promotes absorption of calcium and phosphorus and mineralization of bones and teeth. Deficiency
in children causes Rickets and in adults leads to Osteomalacia. It can also lead to Hypocalcemia and
Tetany. Vitamin D status is best determined by measurement of 25 hydroxy vitamin D, as it is the major
circulating form and has longer half life (2-3 weeks) than 1,25 Dihydroxy vitamin D (5-8 hrs).
Decreased Levels
· Inadequate exposure to sunlight
· Dietary deficiency
· Vitamin D malabsorption
· Severe Hepatocellular disease
*141003572* Page 8 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM

· Drugs like Anticonvulsants
· Nephrotic syndrome
Increased levels
Vitamin D intoxication
ERYTHROCYTE SEDIMENTATION RATE (ESR) 79 mm/hr 0 - 15

(Automated Westergren method)
Note
1. C-Reactive Protein (CRP) is the recommended test in acute inflammatory conditions.
2. Test conducted on EDTA whole blood at 37 °C.
GLUCOSE, FASTING (F), PLASMA 259.00 mg/dL 70.00 - 100.00

(Hexokinase)
C-REACTIVE PROTEIN; CRP, SERUM @ 201.40 mg/L <5.00

(Immunoturbidimetry)
Comments
CRP is an acute phase reactant which is used in inflammatory disorders for monitoring course and effect of
therapy. It is most useful as an indicator of activity in Rheumatoid arthritis, Rheumatic fever, tissue injury or
necrosis and infections. As compared to ESR, CRP shows an earlier rise in inflammatory disorders which
begins in 4-6 hrs, the intensity of the rise being higher than ESR and the recovery being earlier than ESR.
Unlike ESR, CRP levels are not influenced by hematologic conditions like Anemia, Polycythemia etc.
*141003572* Page 9 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM

URINE EXAMINATION, ROUTINE; URINE, R/E
(Automated strip test,Microscopy)
Physical
Colour Light Yellow Pale yellow
Specific Gravity 1.020 1.001 - 1.030
pH 6.5 5.0 - 8.0
Chemical
Proteins Nil Nil
Glucose Present 3+(1.0 g/dL) Nil
Ketones Nil Nil
Bilirubin Nil Nil
Urobilinogen Normal Normal
Leucocyte Esterase Positive Negative
Nitrite Negative Negative
Microscopy
R.B.C. Negative Negative
Pus Cells 10-15 WBC/HPF 0-5 WBC / hpf
Epithelial Cells +(in small numbers) Few
Casts Nil Nil /lpf
Crystals Calcium Oxalate Nil
Others Nil -
Result Rechecked,
Result Rechecked,
PatientReportSCSuperPanel.URINE_EXAMINATION_SC (Version: 6)
*141003572*
Page 10 of 11
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S40 - LPL-PANIPAT
7290015263,7290094876
PANIPAT 132103

Received : 10/7/2018 9:40:55AM
Dr. Preeti Seth Dr Himangshu Mazumdar Dr. Nimmi Kansal

MBBS , DCP MD (Biochemistry) MD (Biochemistry)
Chief of Lab Consultant Biochemist - NRL National Head
- Clinical Chemistry & Biochemical
Genetics
Result/s to follow:
HLA-B27 PCR, QUALITATIVE
PatientReportSCSuperPanel.URINE_EXAMINATION_SC (Version: 6)
*141003572*
Page 11 of 11

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Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

LIVER & KIDNEY PANEL, SERUM

THYROID PROFILE,TOTAL, SERUM

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

COMPLETE BLOOD COUNT (CBC)

Hemoglobin 15.10 g/dL 13.00 - 17.00

Segmented Neutrophils 62.10 % 40.00 - 80.00

Lymphocytes 23.10 % 20.00 - 40.00

Monocytes 11.80 % 2.00 - 10.00

Eosinophils 2.90 % 1.00 - 6.00

Basophils 0.10 % <2.00

Neutrophils 4.67 thou/mm3 2.00 - 7.00

Basophils 0.01 thou/mm3 0.01 - 0.10

2. Test conducted on EDTA whole blood

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

HbA1c (GLYCOSYLATED HEMOGLOBIN), BLOOD 13.7 %

Note:- Urgent repeat advise in case there is no clinical correlation.

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

LIPID SCREEN, SERUM

Cholesterol, Total 178.00 mg/dL <200.00

Triglycerides 158.00 mg/dL <150.00

HDL Cholesterol 37.00 mg/dL >40.00

LDL Cholesterol, Calculated 109.40 mg/dL <100.00

VLDL Cholesterol,Calculated 31.60 mg/dL <30.00

VITAMIN B12; CYANOCOBALAMIN, SERUM 88.00 pg/mL

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

VITAMIN D, 25 - HYDROXY, SERUM 30.68 nmol/L

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

ERYTHROCYTE SEDIMENTATION RATE (ESR) 79 mm/hr 0 - 15

GLUCOSE, FASTING (F), PLASMA 259.00 mg/dL 70.00 - 100.00

C-REACTIVE PROTEIN; CRP, SERUM @ 201.40 mg/L <5.00

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval

Colour Light Yellow Pale yellow

Specific Gravity 1.020 1.001 - 1.030

pH 6.5 5.0 - 8.0

Proteins Nil Nil

Glucose Present 3+(1.0 g/dL) Nil

Ketones Nil Nil

Bilirubin Nil Nil

Urobilinogen Normal Normal

Leucocyte Esterase Positive Negative

Nitrite Negative Negative

R.B.C. Negative Negative

Pus Cells 10-15 WBC/HPF 0-5 WBC / hpf

Epithelial Cells +(in small numbers) Few

Casts Nil Nil /lpf

Crystals Calcium Oxalate Nil

Name : Mr. RITIK Collected : 10/7/2018 9:24:00AM

Test Name Results Units Bio. Ref. Interval