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I. LABORATORY AND DIAGNOSTIC EXAMINATIONS RESULTS

Date Procedure Norms Result Interpretation and

Analysis

July

16,2010

CBC

Hemoglobin Hematocrit

RBC count

MCV

MCH

MCHC

RDW-CV

WBC count

Neutrophils

Lymphocytes

Basophils

Monocytes

Eosinophils

Platelets

MPV

110-160 g/L0.370-0.5403.50- 5.50

10^12/L

80.0-100.0

fL27.0-34.0

pg

32.0-36g/dL

11.0-16.0 %

4.00-10.0010^9/L

50.0-70.0 %

20.0-40.0 %

0.0-1.0 %

3.0-8.0 %0.5-5.0 %

100-30010^9/L6.5-12.0 fL

1550.4825.07

95.1

30.6

32.2

12.0

8.20

45.2

44.8

0.5

5.04.5

168

8.5

NormalNormalNormal

Normal

Normal

Normal

Normal

Normal

Decreased neutrophil

levels may be the result

of severe infection orother conditions, such as

responses to various

medications, particularlychemotherapy.

(www.labtestonline.org)

Lymphocytescanincrease in cases ofviral

infection, leukemia,cancer of the bone

marrow, or radiation

therapy

(www.labtestonline.org)

Normal

NormalNormal

Normal

Normal

July

12,

2010

Clinical Chemistry

Creatinine Adults: 45-

104 umol/L

Neonate:

62.17 Normal

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Na+

K+

27-87

umol/L

Infant: 14-

34 umol/L

Child: 23-

68 umol/L135-145

mmol/L3.6-5.5

mmol/L

137.00

3.87

Normal

Normal

July14,

2010

X-ray

Skull

Cervical

Normal

findings are

a normalskull and

surrounding

structures.

Three

curves tofollow

> There is

complete

fracture ofthe proximal

half of the

nasal bone.

>No definite

radiologicevidence of

fracture in

Patients with nasal

fractures usually present

with some combinationof deformity, tenderness,

hemorrhage, edema,

ecchymosis, instability,and crepitation;

however, these features

may not be present or

may be transient. Tofurther complicate the

matter, edema can mask

underlying nasaldeformity, crepitation,

and instability; thus,

many physicians and

patients fail to pursuefurther diagnosis and

appropriate treatment. Ifuntreated, nasal fractures

can result both in

unfavorable appearance

and in unfavorablefunction, especially

when the underlying

structural integrity of bone and cartilage is

lost.

(http://emedicine.medscape.com)

> no fracture and sudden

deceleration of the body,with flexion and

extension movements of

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CXR

a. Anterior

aspect ofvertebral

bodies

b. Posterior

aspect ofvertebral

bodiesc.

Spinolamin

ar line

Bones forsymmetry

A normalchest x raywill show

normal

structures

for the ageand medical

history of

the patient.Findings,

whether

normal orabnormal,

will be

provided tothe referring

physician in

the form of

a writtenreport.

the views

obtained.> There is

straightening

of the

cervicalvertebrae

probablysecondary to

muscle

spasm.

> There aremultiplefracture noted

involving the

3rd, 4th, 5th, 6th

and 7th

posterior ribs.

> There is

inhomogeneous opacity

noted in the

right lateralchest. There

are linear

lucenciesnoted in the

left lateral

chest wall

bothsupraclavicul

ar area,

suggestive ofsubcutaneous

emphysema.

the cervical spine

usually results in sprainor intervertebral disc

injury without fracture

or dislocation. The

commonest radiographicappearance is

straightening of thecervical spine due to

severe muscle spasm,

with the normal

curvature reduced orreversed.

(www.imageinterpretatio

n.com)

Rib fractures maycompromise ventilation by a variety of

mechanisms. Pain from

rib fractures can cause

respiratory splinting,resulting in atelectasis

and pneumonia. Multiple

contiguous rib fractures(ie, flail chest) interfere

with normal

costovertebral anddiaphragmatic muscle

excursion, potentially

causing ventilatoryinsufficiency. Fragments

of fractured ribs can also

act as penetrating objects

leading to the formationof a hemothorax or a

pneumothorax. Ribs

commonly fracture at thepoint of impact or at the

posterior angle

(structurally their weakest area). Ribs four

through nine (4-9) are

the most commonly

injured.(http://emedicine.medsca

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Right hand

Right

forearm/left

thigh/pelvis

No fracture

in any

cartilageand bone in

the hand

No fracture

on the

forearm, left

thigh, andpelvis

> No definite

radiologic

evidence offracture in

the viewsobtained.

> A soft

tissue injury

os noted inthe dorsal

aspect of the

right hand.

> No definite

radiologic

evidence of

fracture inthe views

pe.com)

No fracture identified

and the pathophysiology

of soft tissue injuries of

the hand is diverse. Themost common

mechanisms of injuryare blunt trauma (eg,

crush injury, contusions,

abrasions), laceration,

avulsion, ring avulsion,and burns. Besides skin

and superficial tissues,

the many muscles,ligaments, and tendons

of the hand arevulnerable to injury, asare the nerves and blood

vessels that supply these

structures. Damage to

these structures maycreate permanent

functional and/or

sensory deficits specificto the site of injury. Soft

tissue injuries of the

hand rarely are lifethreatening. However,

the high incidence of

disability fromchronically painful or

unstable joints is

reflected by the fact that

hand derangementsaccount for 9% of all

worker compensation

claims.(http://emedicine.medsca

pe.com)

No fracture identified.

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obtained.