1|Page

CHINESE GENERAL HOSPITAL

College of Nursing and Liberal Arts

LABORATORY ANALYSIS

Student: RAMON TIMOTHY B. LEGASPI Yr & Sec: III – D Group 4 Area: Charity (FEMALE)

HEMATOLOGY REPORT

Component Results Normal Values

WBC 7.7 18.0 4.0 - 11.0 x 109 /L
RBC 3.66 4.0 - 6.0 x 1012 /L
HGB 116 113 120 – 180 g/L
HCT 0.334 0.370 - 0.540
MCV 91.3 80 – 100 fL
MCH 30.9 27 - 31 pg
MCHC 330 320 - 360 g/L
RDW 15.0 11.5 – 15.0 %
DIFFERENTIAL COUNT
BANDS 22 2–6%
SEGMENTERS 73 70 50 – 70 %
LYMPHOCYTES 26 64 20 – 44 %
MONOCYTES 01 03 2–9%
EOSINOPHILS 22 0–4%

* Changes in the white blood cell (WBC) indicate the presence of disease. A rise in the
WBC is usually caused by the conditions that stimulate the bone marrow to produce WBC to
fight off invading organisms. Conditions that increase the WBC are acute infection, circulatory
disease, drugs, haemorrhage, leukaemia, malignant disease, necrosis, toxins, trauma, and
serum.

* Hemoglobin is an important component of red blood cells that carries oxygen and
carbon dioxide to and from tissues. The haemoglobin determination test is used to screen for
diseases associated with anemia and in determining acid-base balance. The oxygen carrying
capacity of the blood is also determined by the Hemoglobin concentration.

* Lymphopenia is characteristic of AIDS. It is also seen in acute infections, Hodgkin's

disease, systemic lupus, renal failure, carcinomatosis, and with administration of
corticosteroids, lithium, mechlorethamine, methysergide, niacin, and ionizing irradiation. Of all
hematopoietic cells lymphocytes are the most sensitive to whole-body irradiation, and their
count is the first to fall in radiation sickness.

* Increase in monocytes (Monocytosis) indicate the recovery phase of many acute

infections.

1
2|Page

URINALYSIS

Physical
Result Chemical Test
Characteristics
Color Amber Albumin Trace
Transparency Cloudy Sugar (-)
Reaction/pH 6.0
Specific Gravity 1.015

Microscopic Findings

CELLS CASTS
Pus cells: 20-30/HPF Amorphous PO4: Hyaline: /LPE
RBC: 2-4/HPF Mucus Threads: FEW Fine granules: /LPE
Squamous: FEW Bacteria: (+) Coarse: /LPE
Amorphous urates: FEW Yeasts:

OTHERS
Bilirubin Crystals: FEW

Amber colored urine is normal but it indicates high specific gravity and a small amount
of urine. Specific gravity is above 1.020 and output less than 1L per day. However, excretion of
cloudy urine may not be abnormal since the change on urine pH may cause precipitation within the
bladder of normal urinary constituents.

Bacteria are common in urine specimens because of the abundant normal microbial
flora of the vagina in the female and the external urethral meatus in both sexes and because of
their ability to rapidly multiply in urine standing at room temperature. Therefore, microbial
organisms found in all but the most scrupulously collected urines should be interpreted and
correlated with the condition of the patient. Diagnosis of bacteriuria in a case of suspected
urinary tract infection requires culture. A colony count may also be done to see if significant
numbers of bacteria are present. Generally, more than 100,000/ml of one organism reflects
significant bacteriuria. The presence of multiple organisms reflects contamination.

Creatinine is a nitrogenous waste product produced during protein metabolism in

muscle tissue. The test is used to determine kidney function and/or damage. Above normal
range, which indicates a decreasing kidney function, or muscle disease.

The measurement of bilirubin is important in evaluating liver function, and haemolytic

anemia. A NORMAL level of total bilirubin rules out any significant impairment in the excretory
function of the liver or excessive hemolysis of red blood cells. Differentiation of bilirubin is done
to determine what the cause of the elevation of total bilirubin is. Above normal range, may
indicate obstructive jaundice of which is a result of obstruction of the common bile duct or
hepatic ducts due to stones or neoplasm.