V.
DIAGNOSTIC EXAMINATION
DATE: September 10, 2018
A.ARTERIAL BLOOD GAS RESULT
pH 7.30 7.35 – 7.45 Decrease
PCO2 25 35-45 (mmHg) Decrease
PO2 118 80-100
BE -13.0 +-2
HCO3 12.0 22-26 (mEq/L) Decrease
Hct 23% Male 45-52% female
35-47
Hb 7.1 12-16(g/dl)
FIO2 21% 21%-100%
O2SAT 94% AGE RELATED
RANGE/DIAGNOSIS
B. ELECTROLYTES
Sodium (Na) 133 mmol/L 135-145 Decrease
Potassium (k) 3.3 mmol/L 3.5-5-5 Decrease
Calcium (Ca) 0.79 mmol/L 1.10-1.40 Decrease
C. CHEMISTRY
Glup 4.3 mmol/L 4.1-5.9 Normal
LDL 2.2 mmol/L 0.0-2.6 Normal
C_ Chol 3.611 mmol/L 0.000-5.170 Normal
C_ HDL 0.68 mmol/L 0.77-1.83 Decrease
Trigy 1.666 mmol/L 0.000-1.710 Normal
Creatinine 1810.0 umol/L 58.0-110.0 Normal
Phosporus 4.27 mmol/L -81-1.45
BUN 58.5 mmol/L 2.8-7.2
D. HEMATOLOGY
TEST RESULT NORMAL VALUES IMPLICATION
Hemoglobin 80 M 135-180 g/l
(Hgb) F 120-160 g0/l
Hematocrit 24 M 40-50 vol. %
(Hct) F 37-47 vol. %
RBC Count 2.65 4.5-5.9 x 10 12/L
WBC Count 10.0 5-10 x 10 9/L
Neutrophils 0.75 0.40-0.70
Lymphocytes 0.17 0.20-0.40
Monocytes 0.06 0.00-0.06 Normal
Eosinophils 0.02 0.00-0.07
Blood Typing O+
Platelet Count 148 150-450 x 10 g/L Normal
MCV 91.4 82.0-95.0 fl Normal
MCH 30.1 27.0-31.0 pg
MCHC 330 320-360 g/L
RDC-CV 12.1 11.6-14.6%
B. SEROLOGY
METHOD RESULT REFERENCE RANGE IMPLICATION
Cholesterol 4.58 mmol/L 3.64 – 5.20 Normal
HDL Cholesterol 1.24 mmol/L 0.78 – 2.21 Normal
LDL Cholesterol 2.78 mmol/L 2.60 – 4.10 Normal
Triglyceride 1.22 mmol/L 0.33 – 1.65 Normal
Glucose 14.40 mmol/L 3.85 - 5.78 High
Creatinine 67.17 umol/L 53.04 - 97.24 Normal
TEST NAME RESULT REFERENCE RANGE IMPLICATION
Glycosylated Hemoglobin 12.1 % (109.2 mmol/mol) 4.0 – 5.7 (20.2 - 38.8) High
(HbA1c)
Troponin T
Troponin I
BNP
TEST METHOD RESULT
Hepatitis B Surface Antigen (HBsAg) Immunochromatography Non Reactive
Rapid Plasma Reagin (RPR) Immunochromatography
Dengue IgM/IgG Immunochromatography
Dengue NSI Ag Immunochromatography
S. Typhi IgM/IgG Immunochromatography
Leptospirosis IgM/IgM Immunochromatography
Anti-Streptolysin O Latex Aggulutination
HIV 1 and 2 Particle Aggulutination
Hepatitis C Virus Antibody ( HCV) Particle Aggulutination
C. MEDICAL IMAGING REPORT
Procedure: Right Hand APO
Clinical Information: Infected Wound, Right Hand; T/C Diabetes Mellitus Type II
Findings:
There is soft tissue swelling involving the right hand.
The visualized osseous structures appear intact.
No lytic or sclerotic changes seen.
D. MICROBIOLOGY REPORT
Gram Stain
Specimen: Wound Discharge
Gram (+) Cocci: Rare/OIF Others: Epithelial Cells: few/ LPF
Pus Cells: > 25/ LPF
Aerobic Culture
Specimen: Wound Discharge
Culture Results: Moderate growth of Methicilin Resistant Staphylococcus aureus after 24 hours of
incubation
SUSCEPTIBILITY TEST REPORT
ANTIBIOTICS S R I ANTIBIOTICS S R I
Cefoxitin POSITIVE Clindamycin X
Oxacillin X Erythromycin X
Benzylpenicillin X Trimethoprin X
Inducible Clindamycin NEGATIVE Limezolid X
Resistant Vancomycin X
Legend: R: Resistant S: Sensitive I: Intermediate
