Case Presentation Lab Results
2
B. CBC Reference Hgb 120 121 120 g/L Hct 27.7 36 40-54% MCV 84 84 80-94% MCHC 36 33 32-37% RBC 4.3 4.2 4.5-5.0 x 10 12 /L WBC 13.3 14.9 5-10 x 10 9 /L Segmenters 82 73 40-75% Lymphocytes 17 21 20-45% Eosinophils 1 6 1-4% Basophils - Platelets normal Increased 140-440 x 10 9 /L RBC morphology normochromic normocytic normochromic normocytic The patient has a low hemoglobin, low hematocrit, low MCV but high MCHC, RBC is slightly lower than normal. WBC is elevated due to the presence of bacterial pneumonia, platelets are normal size and shape of red blood cells is normal as well. Same interpretation on the 2 nd test except for increased platelet count. C. Coagulation Studies Prothrombin Time 12.6 Control 12.0 INR 1.05 % Activity 93.5 Partial Thromboplastin Time 25.8 Control 30.0 Prothrombin time is normal. Partial thromboplastin Time is slightly delayed. D. Arterial Blood Gases
Transcript of Case Presentation Lab Results
B. CBCReference
Hgb 120 121 120 g/LHct 27.7 36 40-54%MCV 84 84 80-94%MCHC 36 33 32-37%RBC 4.3 4.2 4.5-5.0 x 1012/LWBC 13.3 14.9 5-10 x 109/LSegmenters 82 73 40-75%Lymphocytes 17 21 20-45%Eosinophils 1 6 1-4%Basophils -Platelets normal Increased 140-440 x 109/LRBC morphology normochromic
normocyticnormochromic normocytic
The patient has a low hemoglobin, low hematocrit, low MCV but high MCHC, RBC is slightly lower than normal. WBC is elevated due to the presence of bacterial pneumonia, platelets are normal size and shape of red blood cells is normal as well. Same interpretation on the 2nd test except for increased platelet count.
C. Coagulation StudiesProthrombin Time 12.6Control 12.0INR 1.05% Activity 93.5Partial Thromboplastin Time
25.8
Control 30.0
Prothrombin time is normal. Partial thromboplastin Time is slightly delayed.
D. Arterial Blood GasesReference
pH 7.403 7.35-7.45PCO2 31.5 35-45 mmHgPO2 (arterial) 130 80-100 mmHgO2 Saturation 99.1% 94-100%HCO3 20.0 22-26 meq/LBase Excess -5.2 +/-2Total CO2 21.0FiO2 2 LPMPO2 (venous) 35.5Temp 36.1 37 ˚ CRR 36 12-20
Patient’s arterial PO2 is due to the respirator attached to the patient which 2L of O2 /min. decrease in PCO2 indicates respiratory alkalosis while the decrease in HCO3 indicates metabolic acidosis. pH level is normal but is slightly on the alkalinic side. Therefore, the finding is: Fully compensated respiratory alkalosis without hypoxemia.
E. LipidsReference
Total Cholesterol 6.5 3.4-6.1 mmo1/LHDL 1.5 0.6-2.1 mmo1/LTriglyceride 1.4 Up to 2.4 mmo1/LLDL 4.4 Up to 3.9 mmo1/LTotal Cholesterol/ HDL ratio
4.3
Patient’s total cholesterol exceeded the normal value which may cause fatty build up if not burned
