Lab Results

Name: Mr. X Age: 80 y/o Sex: M Date: September 24, 2013

Hematology Section

Test Result Reference Value Clinical SignificanceWBC 11.1 10^3 g/L 4.23-9.07 The increased WBC production

indicates the body is defending itself against an infection

RBC 4.3 10^6 g/L 4.63-6.08 Suggests anemia, body may not be getting the amount of oxygen it needs

Hemoglobin 122 g/L 137-175Hematocrit 0.392 0.4-0.5 Hct measures the amount of

space red blood cells take up in the blood.

Neutrophils 77.7 % 34.0-67.9 Increased amount indicates infection

Lymphocytes 11.1 % 21.8-53.1 infectionBasophils 0.1 % 0.2-1.2 Decreased amount may

indicate an allergic reaction

Name: Mr. X Age: 80 y/o System Examined: Chest Date: September 24, 2013

Ultrasound Result

-Small right sided pleural effusion with a computed volume of 380cc

-No distinct lung mass

-Note of tiny dense modules, right hepatic lobe, measuring up to 0.6 cm; suggestive of metastasis.

Body Fluid Analysis

Date: September 23, 2013

Specimen: Pleural Fluid

Color: Light Yellow Amount: 6 cc

Character: Slightly Turbid Cell Count: RBC-370

-turbid appearance may indicate infection WBC-28 Differential Count: Segmenters

Lymphocytes: 90%

Sample Fluid: CSF

Date: September 23, 2013

TEST NAME RESULT REF. INTERVAL INTERPRETATIONTotal Protein 10 6.0-8.3 g/L The low Total protein level

may indicate chronic inflammation or infection

Albumin 3 34-50 g/L The low albumin level may suggest problems in its production or elimination.

Name: Mr. X

Age: 80 y/o

Date: September 23, 2010

Sample Fluid: BLOOD SERUM

TEST NAME RESULT REF. INTERVAL INTERPRETATIONTotal Protein 44 64-82 g/L May cause third spacingAlbumin 15 34-50 g/L May cause third spacingAlbumin/Globulin Ratio 0.5 1.0-2.0 decreased A/G ratio

suggests a metastatic disease

Name: Mr. X

Date: September 21, 2013

CT SCAN RESULT

-Included liver shows small (0.5cm) hypodense nodules in the right hepatic lobe

IMPRESSION

-Fibrosis, middle lobe

-Moderate pleural effusion, right. Mild pleural effusion, left

-Small hypodense nodules, right hepatic lobe, may represent metastatic foci. Review of the previous abdominal scan dated September 17, 2013, these nodules were not distinctly demonstrated, likely due to variation in slice thickness

Name: Mr. X

Age: 80 y/o

Date: September 20, 2013

Hematology Section

Test Result Reference Value Clinical SignificanceWBC 13.3 10^3/uL 4.23-9.07 The increased WBC production

indicates the body is defending itself against an infection

RBC 3.9 10^6/uL 4.63-6.08Hemoglobin 110 g/L 137-175 Suggests anemia, body may not

be getting the amount of oxygen it needs

Hematocrit 0.354 0.4-0.5 Hct measures the amount of space red blood cells take up in the blood.

Neutrophils 83.8 % 34.0-67.9 Increased amount indicates infection

Lymphocytes 8.5 % 21.8-53.1 infectionMonocytes 4.2 % 5.3-12.2 May put client at greater risk of

infection due to decreased amount

Basophils 0.1% 0.2-1.2 Decreased amount may indicate an allergic reaction

Name: Mr. X Age: 80 y/o Sex: M Date: September 19, 2013

Urinalysis

Physical Examination Microscopic Examination

Color: Yellow Pus Cells: 2-3

Transparency: Turbid Red Blood Cells: 0-2

Epithelial Cells: Few

Amorphous Urates/ Phosphates: Few

Name: Mr. X Age: 80 y/o Date: September 23, 2010 Sample Fluid: SERUM

TEST NAME RESULT REF. INTERVAL INTERPRETATIONAlkaline Phosphatase 148 50-136 U/L Abnormal levels of ALP in

your blood most often indicate a problem with your liver and/or bones. However, they may also indicate malnutrition, kidney tumors, or a serious infection.

Albumin/Globulin Ratio 17 34-50g/L decreased A/G ratio suggests a metastatic disease

Name: Mr. X Age: 80 y/o Sex: M

Date: September 16, 2013

Hematology Section

Test Result Reference Value Clinical SignificanceWBC 11.8 10^3/uL 4.23-9.07 The increased WBC production

indicates the body is defending itself against an infection

RBC 3.5 10^6/uL 4.63-6.08Hemoglobin 97 g/L 137-175 Suggests anemia, body may not

be getting the amount of oxygen it needs

Hematocrit 0.319 0.4-0.5 Hct measures the amount of space red blood cells take up in the blood.

MCHC 30.4 g/dL 31-37Neutrophils 89.2% 34.0-67.9 Increased amount indicates

infectionLymphocytes 8.8 % 21.8-53.1 infectionMonocytes 1.9% 5.3-12.2 infection

Name: Mr. X Age: 80 y/o Sex: M Date: September 13, 2013

Radiology Report

Findings:

Pneumonia, Right Lower Lung

Small nodular lesion, left lower lung

Atheromatous aorta

Name: Mr. X Age: 80 y/o Sex: M Date: September 16, 2013

Colonoscopy Report

Clinical Data:

w/ abdominal pain

w/ abdominal mass

w/ GI bleeding

w/ bowel habit changes

w/ weight loss

Rectal Exam:

(+) palpable nodular mass o digital rectal exam

Findings:

The scope was inserted up to 35 cm level. There was fecal material seen in the ____ indicating the need for further examination of the colon.

Name: Mr. X Age: 80 y/o Sex: M Date: September 16, 2013

Doppler Study

Conclusion:

Concentric left ventricular remodeling with adequate overall systolic function with signs left ventricular diastolic dysfunction (Grade 1)

Aortic Sclerosis with mild aortic regurgitation

Mitral Sclerosis with mild mitral regurgitation

Tricuspid regurgitation, mild to moderate

Aneurysmally dilated aorta at the level of the sinus of valsalva (4.14cm)

Name: Mr. X Age: 80 y/o Sex: M Date: September 17, 2013

CT-Scan Result

Whole abdominal ct-scan with oral and IV contrasts

Findings:

There is an abnormal circumferential thickening of the rectum with a maximum thickness of 2.5cm. The rectal lumen is markedly narrowed. There is associated perirectal fat stranding. Stomach is collapsed at the time of examination. Osteophytes are seen in the lumbar bodies. Abdominal aorta is calcified.

Clinical Impression:

Large mass involving the rectum causing significant luminal narrowing associated with perirectal fat stranding. Consider primary rectal tumor.

Name: Mr. X Age: 80 y/o Sex: M Date: September 14, 2013

Tumor Markers

TEST NAME RESULT REFERENCE VALUE INTERPRETATIONCEA 9.22 0-4.70 ng/ml - CEA measurement is mainly

used as a tumor marker to monitor colorectal carcinoma treatment, to identify recurrences after surgical resection, for staging or to localize cancer spread through measurement of biological fluids.

Name: MR. X Age: 80 y/o Date: September 13, 2013 Sample Fluid: SERUM

TEST NAME RESULT REF. INTERVAL INTERPRETATIONAlanine Aminotransferase 25 30-65 U/L Alanine Aminotransferase is

measured to see if the liver is diseased/damaged. Low levels are usually found in the blood

Creatinine 131 53-115 umol/L -A high creatinine level may indicate the kidney may not be functioning well.

Name: Mr. X Age: 80 y/o Sex: M Date: September 13, 2013

Hematology Section

Test Result Reference Value Clinical SignificanceWBC 12.7 10^3/uL 4.23-9.07 The increased WBC production

indicates the body is defending itself against an infection

RBC 3.7 10^6/uL 4.63-6.08Hemoglobin 106 g/L 137-175 Suggests anemia, body may not

be getting the amount of oxygen it needs

Hematocrit 0.346 0.4-0.5 Hct measures the amount of space red blood cells take up in the blood.

MCV 93.3 fl 79.0-92.2 The most common causes of microcytic anemia are iron deficiency (due to inadequate dietary intake, gastrointestinal blood loss, or menstrual blood loss)

MCHC 30.6 31-37 Blood loss, such as what might occur with tumors in the colon and other parts of gastrointestinal tract, can cause low iron levels and a low MCHC.

Neutrophils 69.6 % 34.0-67.9 Increased amount indicates infection

Lymphocytes 16.1 % 21.8-53.1 infection

Name: Mr. X Age: 80 y/o Sex: M

Result Normal Findings Interpretation

Color Yellowish brown with gross blood brown May indicate conditions which affects the lower GIT causing

bleeding.Consistency Hard with pencil like appearance May indicate bowel or rectal obstruction.Muscle fiber few May indicate infectionPus cells 6-8 May indicate infectionBacteria +++ May indicate infectionRed cells +++++ May indicate lower GIT bleeding