Laboratory/Diagnostic Examinations

Laboratory Actual Values/ Results Referenc Interpretation

Test/Studies Date e Range

C-Reaction 01/21- Negative mg/L A C-Reactive Protein

Protein 19 test measures the level
of c-reactive protein
(CRP) in your blood.
CRP is a protein made
by your liver. It’s sent
in to your bloodstream
in response to
inflammation.
Inflammation is your
body’s way of
protecting your tissues
if you’ve been injured
or have an infection.
Normally, we have low
levels of c-reactive
protein in our blood.
High levels may be a
sign of a serious
infection or other
disorders.

Reference:
https://medlineplus.gov
/lab-tests/c-reactive-
protein-crp-test/
Creatinine 01/21/1 64.50 umol/L 49-90 Creatinine is one of the
9 substances that
kidneys normally
eliminate from the
body. Doctors
measure the level of
creatinine in the blood
to check kidney
function. High levels of
creatinine may indicate
that the kidney is
damaged and not
working properly.

Reference:
 https://www.healtline.c
om/health/creatinine-
blood#results
Complete 01/21/1 Hemoglobin- 120- The normal
Blood Count 9 127.00 N 140g/L erythrocytes level is
(CBC) 4.5-5.0 L and the
Hematocrit- patient has low
0.38 N 0.37- erythrocytes levels
0.45g/L which indicates that
Erythrocytes- the patient is anemic.
4.39 L The normal
4.5-5.0 lymphocytes level is
Leukocytes- 0.35-0.45 and the
8.41 N patient has low
5.0-10.0 lymphocytes level. This
Thrombocytes- can also be temporary
256.00 N 140-440 but it can also indicate
*Neutrophil-0.57 N 0.55-0.65 that the patient has
*Lymphocytes-0.33 L 0.35-0.45 cold, another infection
*Monocytes- 0.06 N 0.06-0.12 or can be caused by
*Eosinophils- 0.03 N 0.02-0.04 intense physical
*Basophils – 0.01 N 0-0.02 exercise, severe
stress, or malnutririon.
Absolute Neutrophil- A low level of
4.79 N 1.8-7.8 lymphocyte can also
be a sign of condition
Absolute knows as
Lymphocytes- 2.78 N 1.0-4.8 lymphocytopenia or
lymphopenia.
Absolute Monocytes-
0.5 N 0.0-0.80 Reference:
https://www.medicalne
Absolute Eosinophils- 0.0-0.20 wstoday.com/articles/3
0.08 N 20987.php
MCV- 85.56 N 80-97

MCH- 28.93 N 27.0-31.2

MCHC- 334.21 N 318-354

RDW- 12.10 N 11.5-14.5

MPV- 10.20 N 2-20

Indirect 1/21/19 6.3 umol/L - N 3.40- This test measures the
Bilirubin 20.50 amount of bilirubin in
your blood. Your body
makes bilirubin when it
breaks down
hemoglobin.
Hemoglobin is a
protein in red blood
cells. The breakdown
of hemoglobin is called
hemolysis. Your liver
removes bilirubin from
your body. So
measuring bilirubin is
one way to check how
well your liver is
working. You may
need this test if the
results of a total
bilirubin blood test are
abnormal.

Reference:
https://www.urmc.roch
ester.edu/encyclopedia
/content.aspx?contentt
ypeid=167&contentid=i
ndirect_bilirubin
Total Bilirubin 1/21/19 7.60 umol/L - N 5.1-20.5 This is a blood test that
measures the amount
of a substance called
bilirubin. This test is
used to find out how
well your liver is
working. It is often
given as part of a
panel of tests that
measure liver function.
A small amount of
bilirubin in your blood
is normal, but a high
level may be a sign of
liver disease.
The liver makes bile to
help you digest food,
and bile contains
 bilirubin. Most bilirubin
comes from the body's
normal process of
breaking down old red
blood cells. A healthy
liver can normally get
rid of bilirubin. But
when you have liver
problems, bilirubin can
build up in your body
to unhealthy levels.

Reference:
https://www.urmc.roch
ester.edu/encyclopedia
/content.aspx?contentt
ypeid=167&contentid=t
otal_bilirubin_blood
Direct 1/21/19 1.30 umol/L - L 1.7-8.6 This test measures the
Bilirubin amount of bilirubin in
your blood. Your body
makes bilirubin when it
breaks down
hemoglobin.
Hemoglobin is a
protein in red blood
cells. The breakdown
of hemoglobin is called
hemolysis. Your liver
removes bilirubin from
your body. So
measuring bilirubin is
one way to check how
well your liver is
working. You may
need this test if the
results of a total
bilirubin blood test are
abnormal.

Reference:
https://www.urmc.roch
ester.edu/encyclopedia
/content.aspx?contentt
ypeid=167&contentid=
direct_bilirubin
Alkaline PO4 1/21/19 77.00 U/L 38-126 An alkaline phosphate
level test measures the
amount of alkaline
phosphatase enzyme
in your bloodstream.
ALP is an enzyme
found in your
bloodstream. It helps
break down proteins in
your body and exists in
dfferent forms,
depending on where it
originates. Your liver is
one of the main
sources of ALP but
some is also made in
your bones intestines,
pancreas and kidneys.
An ALP test may be
performed to
determine how well
your liver and
gallbladder are
functioning or to
identify problems in
your bones.

Reference:
https://www/healthline.
com/health/alp#uses
Urinalysis 1/22/19 Color: Light Yellow Urinalysis is commonly
used to diagnose a
Transparency: Clear urinary tract or kidney
infection, to evaluate
Specific Gravity: causes of kidney
1.030 failure, to screen for
progression of some
Albumin: TRACE chronic conditions
Sugar: ++ such as diabetes
0-17/uL mellitus and high blood
WBC: 4/uL pressure
0-11/uL (hypertension).
RBC: 6/uL
0-17/uL Abnormally high levels
Epithelial Cells: 1/uL of sugar in the urine,
0-1/uL known as gkycosuria
 Cast> 0/uL are usually the result
0-278/uL of high blood sugar
Bacteria: 9/uL levels. High blood
sugar usually occurs in
patients with diabetes,
especially when
untreated.

Reference:
http://www.heathgrade
s.com/right-
care/kidneys-and-the-
urinary-system/sugar-
in-urine

Ultrasound – 1/21/19 Interpretation: Ultrasound imaging of

Whole the abdomen uses
Abdomen A comparison with sound waves to
the previous produce of the
sonogram dated Feb structres within the
21, 2018 again shows upper abdomen. It is
normal parenchymal used to help
hepatic echotexture diagnosed pain or
and smooth contour. distention and evaluate
There are no masses the kidneys, liver,
or defects seen. The gallbladder, bile ducts,
intrahepatic bile ducts pancreas, spleen and
are not dilated. abdominal aorta.
Hepatic vessels are Ultrasound is safe,
normal. A noninvasive and does
physiologically not ionizing radiation.
distended gallbladder
with normal wall Reference:
thickness is noted. It https://radiologyinfo.or
displays no internal g/en/info.cfm?pg=abdo
echoes. No minus
pericholecystic fluid
collection is seen. No
tenderness is elicited
upon probe
compression. The
pancreas and spleen
are normal. The right
kidney measures
10.1 x 4.9 cm with a
corticomedullary
 parenchymal
thickness of 1.5 cm
while the left
measures 9.7 x 5.1
cm with a
corticomedullary
parenchymal
thickness of 1.5 cm.
Both kidneys shows
normal
corticomedullary
parenchymal
echotexture with
good differentiation of
the cortex and
medulla. Both central
echocomplexes are
normal. The proximal
ureters are not
dilated. The urinary
bladder is fully
distended. Its wall is
smooth and of normal
thickness. No internal
echoes seen. No
ascites is noted. No
paraaortic lymph
nodes is noted.

IMPRESSION:
-NORMAL
ULTRASOUND
STUDY OF THE
WHOLE ABDOMEN
-INCIDENTAL
FINDING OF
UTERINE MYOMA
-REST OF THE
ULTRASOUND
STUDY IS
UNREMARKABLE.
CT-SCAN of 01/22/1 Interpretation: Computed tomography
the abdomen 9 of the abdomen and
History: right upper pelvis is a diagnostic
quadrant pain; imaging test used to
diagnosed ovarian help detect diseases of
CA, s/p the small bowel, colon
oophorectomy, s/p and other internal
appendectomy organs and is often
Technique: Multislice used to determine the
plain and contrast CT cause of unexplained
images of the pain. CT scanning is
abdomen were fast, painless,
obtained. noninvasive nd
accurate. In
A comparison with emergency cases, it
the CT scan dated can reveal internal
Nov. 24, 2018 again injuries and bleeding
shows an ovoid, quickly enough to save
heterogeneously lives.
enhancing mass in
the fundus of the Reference:
uterus now https://radiologyinfo.or
measuring 5.46 x g/en/info.cfm?pg=abdo
5.86 x 6.14 cm (from minct
5.1 x 5.0 cm). No new
lesion is seen. The
ovaries are not
visualized. No
ascites, enlarged
para-aortic or pelvic
lymp nodes seen.
The gallbladder is
adequately distended
with normal wall
thickness and
enhancement. No
calculi or
pericholecystic fluid
seen. The liver shows
a smooth outline.
Hepatic attenuation
and contrast
enhancement are
homogenous. No
mass lesions noted.
Intrahepatic ducts
and common bile
duct are not dilated.
Spleen, pancreas,
and adrenal glands
are normal. Both
 kidneys are normal in
size and shows
simultaneous contrast
enhancement. The
collecting system and
ureters are not
dilated. Minimally
distended stomach
and small and
presence of fecal
material in the colon
preclude proper
evaluation. No
abnormal wall
thickening or mass
lesions are seen. The
appendix is not
visualized. Visualized
osseous and
muscular structures
are not remarkable.
Mural calcifications
are seen in the aortic-
iliac arteries. Included
scan of the lungs are
remarkbale.

IMPRESSION:
-INTRAMURAL
UTERINE MYOMA
-
ATHEROSCLEROSI
S
11/24/2 History: abdominal
018 pain. Diagnosed
ovarian CA, s/p
oophorectomy, s/p
appendectomy
Technique: Multislice
pain and contrast CT
images of the
abdomen were
obtained.

A comparison with th
CT scan dated
February 22,2018
shows the same
ovoid,
heterogeneously
enhancing mass in
the fundus of the
uterus now
measuring 5.1 x 5.0
cm from previous of
4.1 x 4.8 cm. No new
mass lesion is seen.
Ovaries is not
visualized. No
ascites, enlarged
para-aortic nor pelvic
lymph nodes are
seen.
The liver shows a
smooth outline.
Hepatic attenuation
and contrast
enhancement is
homogeneous. There
are no mass lesions
noted. Intrahepatic
ducts not dilated.
Common bile duct is
normal. Gallbladder is
adequately
distended. The gall
bladder wall
thickness is normal
and displays normal
enhancement. There
are no cailculi seen.
Spleen, pancreas and
adrenal glands are
normal.
Both kidneys are
normal in size and
shows simultaneous
contrast
enhancement. The
collecting systems
and ureters are not
dilated.
There is adequate
distention of the
stomach, small and
large intestines. No
abnormal wall
thickening nor mass
lesions are seen. The
appendix is not
visualized
Urinary bladder is
moderately
distended. No
abnormal intraluminal
density is
appreciated.
Visualized osseous
and muscular
structures re not
remarkable.
Mural calcifications
are seen in the aortic-
iliac arteries.
Included scans of the
lungs re
unremarkable.

IMPRESSION:
-Slight increase in the
size of intramral
uterine myoma.
-Atherosclerois
Reference:
U.S. National Library of Medicine (2018, November). C-Reactive Protein Test. Retrieved
from https://medlineplus.gov/lab-tests/c-reactive-protein-crp-test/
Healthline (2017, December). Creatinine Blood Test. Retrieved from
https://www.healtline.com/health/creatinine-blood#results
Silva, J. C. (2018). What are lymphocytes and what are healthy levels to have?
Retrieved from https://www.medicalnewstoday.com/articles/320987.php
University of Rochester Medical Center. (2019) Indirect Bilirubin Test. Retrieved from
https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&content
id=indirect_bilirubin
University of Rochester Medical Center. (2019) Direct Bilirubin Test. Retrieved from
https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=167&content
id=direct_bilirubin
Sampson, S. (2018). ALP (Alkaline Phosphate Level) Test. Retrieved from
https://www/healthline.com/health/alp#uses
Healthgrades Editorial Staff. (2018, November) Sugar in Urine. Retrieved from
http://www.heathgrades.com/right-care/kidneys-and-the-urinary-system/sugar-in-urine
RadiologyInfo.org For Patients (2018, June). Computed Tomography – Abdomen and
Pelvis. Retrieved from https://radiologyinfo.org/en/info.cfm?pg=abdominct
RadiologyInfo.org For Patients (2018, June). Ultrasound - Abdomen. Retrieved from
https://radiologyinfo.org/en/info.cfm?pg=abdominus