IV. DIAGNOSTIC AND LABORATORY REPORT 1. Haematology Date: 09/22/09 Test
Result
Unit
Leukocyte
16.6
10ˆ9/L
Haemoglobin
60
g/L
Differential count: Segmenters Lymphocyte
0.74 0.26
Date: 09/24/09 Test
Result
Unit
Reference values 4.5-11
Analysis Elevated
M:140-180 F:120-140
Low
0.40-0.65 0.20-0.40
Elevated Normal
Erythrocytes
1.87
10ˆ12/L
Haemoglobin
28.8
g/L
Hematocrit
0.119
%
Leukocyte
11.79
10ˆ9/L
Reference values M:4.6-6.2 F:4.2-5.4 M:140-180 F:120-140 M:0.40-0.54 F:0.38-0.47 4.5-11
Neutrophil Eosinophil Basophil Lymphocyte Monocyte Thrombocyte
0.746 0.020 0.002 0.184 0.048 402
% % % % % 10ˆ9/L
150-400
MCH MCV MCHC
15.44 63.59 0.24
pg fl
27-31 80-96 0.32-0.36
Significance
Analysis Low Low Low Slightly elevated
Slightly elevated Low Low Low
Significance
Date: 09/28/09 Test
Result
Unit
Erythrocytes
4.66
10ˆ12/L
Haemoglobin
113.5
g/L
Hematocrit
0.356
%
Leukocyte Neutrophil Eosinophil Basophil Lymphocyte Monocyte Thrombocyte MCH MCV MCHC
8.99 0.624 0.068 0.003 0.201 0.107 367 24.36 76.41 0.32
10ˆ9/L % % % % % 10ˆ9/L pg fl
Date: 09/30/09 Test
Result
Unit
Erythrocytes
4.45
10ˆ12/L
Haemoglobin
110
g/L
Hematocrit
0.354
%
Leukocyte Neutrophil Eosinophil Basophil Lymphocyte Monocyte Thrombocyte MCH MCV MCHC
8.63 0.724 0.024 0.004 0.176 0.072 316 24.70 79.54 0.31
10ˆ9/L % % % % % 10ˆ9/L pg fl
Reference values M:4.6-6.2 F:4.2-5.4 M:140-180 F:120-140 M:0.40-0.54 F:0.38-0.47 4.5-11
150-400 27-31 80-96 0.32-0.36
Reference values M:4.6-6.2 F:4.2-5.4 M:140-180 F:120-140 M:0.40-0.54 F:0.38-0.47 4.5-11
150-400 27-31 80-96 0.32-0.36
Analysis
Significance
Normal Slightly decreased Slightly decreased Normal
Normal Slightly ↓ Slightly ↓ Normal
Analysis Normal Slightly decreased Slightly decreased Normal
Normal Slightly ↓ Slightly ↓ Slightly ↓
Significance
2. Clinical Chemistry Report Test Result Creatinine Sodium Potassium
99.20 144.1 3.92
Unit Mmol/l Mmol/l Mmol/l
3. Clinical Microscopy Report: Urinalysis Macroscopic 09/24/09 09/29/09 Result Result Color Light yellow Light yellow Transparency Slightly Slightly turbid turbid Specific 1.025 1.010 Gravity Reaction 6 6 Albumin Negative Negative Sugar Negative Negative Ketones Negative Negative Microscopic Pus cells 0-4 2-4 RBC 20-25 20-25 Amorphous Moderate Few urates Amorphous None None phosphates Epithelial cells Moderate Few Mucus threads None None Bacteria Few Few 4. PT & APTT Test Protime test Control % Activity INR APTT test Control
Result 12.4 12.2 80% 1.03 33.9 32
Unit Second Second % Second Second
Reference values 53.1-115 135-148 3.5-5.5 Normal finding Amber Clear
Analysis
Significance
Normal Normal Normal Analysis
Significance
0-1 None
Reference values 10-15 10-14 70-120 ≤1.2 26.1-36.3 25-35
Analysis Normal Normal Normal Normal Normal Normal
Significance
5. Ultrasound Report Date: 09/22/09 Examination: Pelvic Findings: The uterus is enlarged measuring about 16.4x9.6x11.2 cm, with a heterogeneous mass in the fundal area measuring 10.5x8.1 cm. Another hypoechoic solid mass is noted in the anterior wall of the lower uterine segment measuring 5.4x4.8 cm which causes a focal bulge in the uterine contour. The endometrium is thickened measuring 4.5 cm and inhomogeneous with poorly defined margins. Impressions: Uterine myomas, submucous with subserous component Endometrial hyperplasia Unremarkable adnexae