Laboratory And Diagnostic Examinations

LABORATORY and DIAGNOSTIC EXAMINATIONS Source of Specimen: Blood Exam Desired: Protime Test: 15.1 secs. Control: 10.7 secs. (10-14 secs.) INR: 1.41 % Activity: 71% (70-100%)

Exam Name WBC Count DIFFERENTIAL COUNT Segmenters Lymphocytes Monocytes Eosinophils Basophils RBC Count Hemoglobin Hematocrit Platelet Count

Result 3.5 0.52 0.42 0.04 0.01 0.01 4.8 139 0.41 326

Unit x10^g/L

x10^12/L Gm/L x10^g/L

Normal Value 4.0-10.0 0.45-0.65 0.20-0.35 0.02-0.06 0.02-0.04 0.00-0.01 3.9-5.6 115-165 0.36-0.47 150-350

Implications: WBC Count Increased – leukemia, bacterial infection. Decreased – viral infection Lymphocytes Increased – is usually a sign of a viral infection (in some rare cases, leukemias are found through an abnormally raised lymphocyte count in an otherwise normal person). A general increase in the number of lymphocytes is known as lymphocytosis. Decreased – occurs when the human immunodeficiency virus (HIV) hijacks and destroys T cells (specifically, the CD4+ subgroup of T lymphocytes). A general decrease in the number of lymphocytes is known as lymphocytopenic.

Eosinophils, Monocytes, Basophils Increased – acute infectious disease – predominantly in the neutrophilic fraction with bacterial diseases and in the lymphocytic and monocytic fractions in viral diseases, collagen diseases, allergy, and parasitosis. Decreased – aplastic anemia, agrunolocytosis. RBC Count Increased – anorexia, dehydration. ] Decreased – leukemia, hemorrhage. Hemoglobin (Hgb) Increased – polycythemia, chronic obstructive pulmonary disease, failure of oxygenation because of congestive heart failure. Decreased – anemia, severe or prolong hemorrhage. Hematocrit (Hct) Increased – erythrocytosis, hemoconcentration associated with shock. Decreased – anemia, blood loss. Platelet Count Increased – malignancy, postoperatively, rheumatoid arthritis. Decrease – thrombocytopenic purpura, acute leukemic aplastic anemia, infection.

ROENTGENOLOGICAL REPORT Name: Madeleen B. Fajardo Address: 187 Paciano Rizal Calamba Laguna Exam: Chest PA CC: Fever Referred by: Dr. Mina Chest PA: Both lung fields are clear with normal pulmonary vascular markings. The cardiac shadow is not enlarged. Other included chest structures are unremarkable. Impression: Normal chest findings.