A.

Laboratory and Diagnostic Examination

Complete Blood Count

The complete blood count (CBC) is a common blood test that evaluates the three major types of cells in the blood: red blood cells, white blood cells, and platelets. A CBC may be ordered as part of a routine checkup or if the patient is feeling more tired than usual, seems to have an infection, or has unexplained bruising or bleeding. The CBC can also test for loss of blood, abnormalities in the production or destruction of blood cells, acute and chronic infections,vallergies, and problems with blood clotting. Result Normal WBC 19.4 Value 4.8 10.8 Findings Above Normal Analysis If white blood cell count rises, it could mean an infection has begun. This is the main defender of the body against infection and antigens. Neutrophils 73.7 55 75 Normal High levels may indicate infection. There is no indication of active viral infection. Elevated levels are seenin tissue breakdown Lymphocytes 17.7 20 30 6.7 07 Above Normal 1.7 There is no indication of allergic reaction. Normal or chronic infections, carcinomas, leukemia monocytic or lymphomas. There is no indication of allergic reaction. Monocytes

Eosinophils

03 Normal

Basophils

0.2 01 Normal Normal

RBC

4.63

4.0 6.20

The primary reason to assess the RBC is to check for anemia and to evaluate normal erythropoiesis (the production of red blood cells).

HGB

12.1

14 18

Below Normal

The hemoglobin level indicates the amount of intracellular iron. Hemoglobin is decrease in Hereditary anemia, Hemodilution (edema) and Deficiency (protein malnutrition, iron, copper, Vitamin C, Vitamin B1 (thiamine), folic acid, B12).

HCT

35.3

42 57

Below Normal

The hematocrit is one of the most precise methods of determining the degree of anemia or polycythemia (excessive amount of red blood cells). Indicates the Average red blood cell size.

MCV

76.3

81 99

Normal

MCH

26.2

27 31

Normal

Indicates if there is an anemia present.

MCHC

34.4

32 36

Normal

Indicates the hemoglobin concentration per red blood cell.

RDW

12.9

0.115 0.140

Below Normal

The RDW is useful in monitoring the results of hematinic therapy for iron-deficiency or megaloblastic anemias.

PLATELET

516

150 400

Above Normal

If the platelet level is too high, you could develop abnormal clots called thrombosis

NRBC

0.00 0.00

Urinalysis A urinalysis is usually ordered when the patient has a urinary tract infection or a health problem that can cause an abnormality in the urine. Result Color Yellow Normal Value Amber pale to Findings Normal Analysis Urine is normally clear

dark yellow

yellow or amber in color. The color of urine is mainly a result of the presence of the pigment urochrome, which is produced through endogenous metabolic processes. Transparency refers to the clarity of the urine. Proteins in the urine are one of the most important indicators of kidney disease. Specific gravity is an indicator of urine concentration of the amount of present in the urine. There is no glucose in the urine. A pH below 7 indicates an acidic urine sample.

Transparency Albumin

Slightly Turbid +3

Clear 0

Normal Above Normal

Specific Gravity

1.0 25

1.010-1.030

Normal

Sugar pH

Negative 5

Negative 4.5 to 8.0

Normal Normal