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FRM Patient View All Report

The lab report is for Mr. Shubham, a 21-year old male. Blood tests show elevated white blood cell count, neutrophils, monocytes, erythrocyte sedimentation rate, and mean platelet volume. The peripheral blood smear shows normocytic normochromic red blood cells along with toxic granulation in polymorphonuclear cells, indicating a mild to moderate infection. Malarial parasites were not detected. Widal test was negative for Salmonella Typhi 'O' and 'H' antigens.

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Golu Yadav
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0% found this document useful (0 votes)
535 views5 pages

FRM Patient View All Report

The lab report is for Mr. Shubham, a 21-year old male. Blood tests show elevated white blood cell count, neutrophils, monocytes, erythrocyte sedimentation rate, and mean platelet volume. The peripheral blood smear shows normocytic normochromic red blood cells along with toxic granulation in polymorphonuclear cells, indicating a mild to moderate infection. Malarial parasites were not detected. Widal test was negative for Salmonella Typhi 'O' and 'H' antigens.

Uploaded by

Golu Yadav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Client Processed By

Pathkind Collection Centre (Jakhini) Pathkind Diagnostic Pvt. Ltd.


Gram-Jakhini, Rohaniya, Varanasi, D63/8-1 ,Krishna Complex, Mahmoorganj, Varanasi-221010
Uttar Pradesh - 221305
Name : Mr. SHUBHAM Billing Date : 25/09/2022 12:01:38
Age : 21 Yrs Sample Collected on : 25/09/2022 12:03:41
Sex : Male Sample Received on : 25/09/2022 14:53:55
P. ID No. : P1200200012747 Report Released on : 25/09/2022 19:27:19
Accession No : 1200221094961 Barcode No. : 993511627
Referring Doctor : DR.V.KUMAR
Referred By : Ref no. :

Report Status - Final


Test Name Result Biological Ref. Interval Unit

HAEMATOLOGY
Haemogram with PS
Haemoglobin (Hb) 14.4 13.0 - 17.0 gm/dL
Sample: Whole Blood EDTA
Method: Photometric measurement

Total WBC Count / TLC 15.4 H 4.0 - 10.0 thou/µL


Sample: Whole Blood EDTA
Method: Impedance

RBC Count 4.6 4.5 - 5.5 million/µL


Sample: Whole Blood EDTA
Method: Impedance

PCV / Hematocrit 44.9 40.0 - 50.0 %


Sample: Whole Blood EDTA
Method: Impedance

MCV 97.1 83.0 - 101.0 fL


Sample: Whole Blood EDTA
Method: Calculated

MCH 31.1 27.0 - 32.0 pg


Sample: Whole Blood EDTA
Method: Calculated

MCHC 32.0 31.5 - 34.5 g/dL


Sample: Whole Blood EDTA
Method: Calculated

RDW (Red Cell Distribution Width) 15.1 11.8 - 15.6 %


Sample: Whole Blood EDTA
Method: Calculated

DLC (Differential Leucocyte Count)


Method: Flowcytometry/Microscopy

Neutrophils 74 40 - 80 %
Sample: Whole Blood EDTA
Method: VCS Technology & Microscopy

1200221094961 Mr. SHUBHAM


Page No: 1 of 5
Client Processed By
Pathkind Collection Centre (Jakhini) Pathkind Diagnostic Pvt. Ltd.
Gram-Jakhini, Rohaniya, Varanasi, D63/8-1 ,Krishna Complex, Mahmoorganj, Varanasi-221010
Uttar Pradesh - 221305
Name : Mr. SHUBHAM Billing Date : 25/09/2022 12:01:38
Age : 21 Yrs Sample Collected on : 25/09/2022 12:03:41
Sex : Male Sample Received on : 25/09/2022 14:53:55
P. ID No. : P1200200012747 Report Released on : 25/09/2022 19:27:19
Accession No : 1200221094961 Barcode No. : 993511627
Referring Doctor : DR.V.KUMAR
Referred By : Ref no. :

Report Status - Final


Test Name Result Biological Ref. Interval Unit
Haemogram with PS

Lymphocytes 16 L 20 - 40 %
Sample: Whole Blood EDTA
Method: VCS Technology & Microscopy

Eosinophils 01 01 - 06 %
Sample: Whole Blood EDTA
Method: VCS Technology & Microscopy

Monocytes 09 02 - 10 %
Sample: Whole Blood EDTA
Method: VCS Technology & Microscopy

Basophils 00 00 - 02 %
Sample: Whole Blood EDTA
Method: VCS Technology & Microscopy

Absolute Neutrophil Count 11396 H 2000 - 7000 /µL


Sample: Whole Blood EDTA

Absolute Lymphocyte Count 2464 1000 - 3000 /µL


Sample: Whole Blood EDTA

Absolute Eosinophil Count 154 20 - 500 /µL


Sample: Whole Blood EDTA

Absolute Monocyte Count 1386 H 200 - 1000 /µL


Sample: Whole Blood EDTA

Absolute Basophil Count 00 L 20 - 100 /µL


Sample: Whole Blood EDTA

DLC Performed By EDTA Smear


Sample: Whole Blood EDTA

Platelet Count 252 150 - 410 thou/µL


Sample: Whole Blood EDTA
Method: Impedance

MPV (Mean Platelet Volume) 11.1 H 6.8 - 10.9 fL


Sample: Whole Blood EDTA
Method: Calculated

1200221094961 Mr. SHUBHAM


Page No: 2 of 5
Client Processed By
Pathkind Collection Centre (Jakhini) Pathkind Diagnostic Pvt. Ltd.
Gram-Jakhini, Rohaniya, Varanasi, D63/8-1 ,Krishna Complex, Mahmoorganj, Varanasi-221010
Uttar Pradesh - 221305
Name : Mr. SHUBHAM Billing Date : 25/09/2022 12:01:38
Age : 21 Yrs Sample Collected on : 25/09/2022 12:03:41
Sex : Male Sample Received on : 25/09/2022 14:53:55
P. ID No. : P1200200012747 Report Released on : 25/09/2022 19:27:19
Accession No : 1200221094961 Barcode No. : 993511627, 993511628
Referring Doctor : DR.V.KUMAR
Referred By : Ref no. :

Report Status - Final


Test Name Result Biological Ref. Interval Unit
Haemogram with PS

Erythrocyte Sedimentation Rate (ESR) 25 H <10 mm 1st Hour


Sample: Whole Blood EDTA
Method: Capillary Photometry

Peripheral Blood Smear Examination


Sample: Whole Blood EDTA
Method: Microscopy

RBC:- are normocytic normochromic in morphology.


WBC:- are raised in number with predominance of polymorphs showing mild to moderate degree of toxic granulation along with smalll
lymphocytic population.
Platelets :- are adequate in number.
No haemoparasite seen.
Impression :- [ NORMOCYTIC NORMOCHROMIC along with TOXIEMIA GRADE II ]
ADV: C - REACTIVE PROTEIN

Malarial Parasite (MP) Smear


Method: Method: Microscopy

Thin Smear Not Detected Not Detected


Sample: Whole Blood EDTA

Thick Smear Not Detected Not Detected


Sample: Whole Blood EDTA

SEROLOGY
WIDAL
Sample: Serum
Method: aggluttination method

Salmonella Typhi 'O' < 1:80 < 1:80


Salmonella Typhi 'H' < 1:80 < 1:80

1200221094961 Mr. SHUBHAM


Page No: 3 of 5
Client Processed By
Pathkind Collection Centre (Jakhini) Pathkind Diagnostic Pvt. Ltd.
Gram-Jakhini, Rohaniya, Varanasi, D63/8-1 ,Krishna Complex, Mahmoorganj, Varanasi-221010
Uttar Pradesh - 221305
Name : Mr. SHUBHAM Billing Date : 25/09/2022 12:01:38
Age : 21 Yrs Sample Collected on : 25/09/2022 12:03:41
Sex : Male Sample Received on : 25/09/2022 14:53:55
P. ID No. : P1200200012747 Report Released on : 25/09/2022 19:27:19
Accession No : 1200221094961 Barcode No. : 993511627, 993511628
Referring Doctor : DR.V.KUMAR
Referred By : Ref no. :

Report Status - Final


Test Name Result Biological Ref. Interval Unit

Salmonella Paratyphi 'AH' < 1:80 < 1:80


Salmonella Paratyphi 'BH' < 1:80 < 1:80
Result : Negative

Haemogram with PS

Clinical Significance :
CBC comprises of estimation of the cellular componenets of blood including RBCs, WBCs and Platelets. Mean corpuscular volume (MCV) is a
measure of the size of the average RBC, MCH is a measure of the hemoglobin cointent of the average RBC and MCHC is the hemoglobin
concentration per RBC. The red cell distribution width (RDW) is a measure of the degree of variation in RBC size (anisocytosis) and is helpful in
distinguishing between some anemias. CBC examination is used as a screening tool to confirm a hematologic disorder, to establish or rule out a
diagnosis, to detect an unsuspected hematologic disorder, or to monitor effects of radiation or chemotherapy. Abnormal results may be due to a
primary disorder of the cell-producing organs or an underlying disease. Results should be interpreted in conjunction with the patient's clinical picture
and appropriate additional testing performed.

WIDAL

While the definitive diagnosis oftyphoid fever depends on the isolation of S typhi from blood, stools, urine orother body fluids, the role of the Widal test
had been to increase the index ofsuspicion for the presence of typhoid fever by demonstrating a positive agglutinationduring the acute and convalescent
period of infection with evidence of a four-fold rise of antibody titre.In many developing countries, including India, the Widal test appears to be the only
laboratory means employed in the diagnosis of typhoidfever among suspected patients. As the test suffers from serious cross-reactivitywith other
infectious agents, it may produce false-positive results, leading to anover-diagnosis of typhoid fever. The Widal test reaction involves the use of bacterial
suspensions of S typhi andS paratyphi‘A’ and ‘B’, treated to retain only the ‘O’ and ‘H’ antigens. Theseantigens are employed to detectcorresponding
antibodies in the serum of apatient suspected of having typhoid fever. The IgM somatic O antibody appearsfirst and represents the initial serologic
response in acute typhoid fever, while theIgG flagella H antibody usually develops more slowly but persists for longer.

In an individual with no prior exposureto S typhi infection (either lack of active infection or absence of passive immunisation),a higher than 1:80 or 1:160
titre on an initial single test, usually correlatesfairly well with exposure to typhoid fever. However, even these single highvaluetitres in an endemic area
where repeated exposures to S typhi may haveoccurred, do not have any clinical relevance in the absence of a positive isolate ofthe causative organism.

1200221094961 Mr. SHUBHAM


Page No: 4 of 5
Client Processed By
Pathkind Collection Centre (Jakhini) Pathkind Diagnostic Pvt. Ltd.
Gram-Jakhini, Rohaniya, Varanasi, D63/8-1 ,Krishna Complex, Mahmoorganj, Varanasi-221010
Uttar Pradesh - 221305
Name : Mr. SHUBHAM Billing Date : 25/09/2022 12:01:38
Age : 21 Yrs Sample Collected on : 25/09/2022 12:03:41
Sex : Male Sample Received on : 25/09/2022 14:53:55
P. ID No. : P1200200012747 Report Released on : 25/09/2022 19:27:19
Accession No : 1200221094961 Barcode No. : 993511627, 993511628
Referring Doctor : DR.V.KUMAR
Referred By : Ref no. :

Report Status - Final


Test Name Result Biological Ref. Interval Unit

Researchers from different parts of India have reported that in normally health blood donors, the baseline titre for antibodies to “O” and “H” antigens of
Salmonella enterica serotype typhi was 1:40 and hence, based on the above results, it could be recommended to use a cutoff level of ≥1:80 for a single
antibody test titre. Similarly, baseline titre for antibody to H antigen of Salmonella enterica serotype paratyphiA and paratyphiB was 1:80 and the cutoff
level was ≥1:160 for a single antibody test titre.

** End of Report**

Dr. Shweta Singh Dr. Neeraj Kumar Singh


MD (Microbiology) Consultant Pathologist
Consultant Microbiologist

1200221094961 Mr. SHUBHAM


Page No: 5 of 5

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