ICU Case Pre - Labs Drft

7/29/2019 ICU Case Pre - Labs Drft

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Date: 08/17/13

TYPE OF

EXAM

NORMAL

VALUES

UNIT RESULTS RESULTS RESULTS RESULTS SIGNIFICANCE

08/25/13 08/28/13 08/31/13 09/04/13Physical Properties

Color Straw,

Amber

- Straw Straw Straw Straw

Transparency Clear - Hazy Hazy Hazy Hazy

Reaction 4.5-8 pH 5.0 6.5 6.5 6.0

SpecificGravity

1.010-1.025 - 1.020 1.015 1.015 1.020

Chemical TestSugar Negative - (-) (-) (-) (-)

Albumin Negative - trace (-) (-) (+)

Pus Cells 0-5 /hpf 1-3 0-1 1-2 1-4

RBC 0-2/hpf /hpf 25-30 20-30 70-90 60-80

Crystals

Amorphous

Urates

Occasional-

Few

- Many Few Occasional Occasional

Squamous

EpithelialCells

Occasional-

Few

- Few Few Occasional Occasional

Yeast Cell None - Many


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RESULTS NORMAL

VALUES

SIGNIFICANCE

08/25/13 08/26/13 08/29/13 09/01/13

Hemoglobin 172 g/L 142 g/L 133 g/L 126g/L 135180 g/L

Hematocrit 0.54 L/L 0.44 L/L 0.40 L/L 0.38 L/L 0.40.54 L/L

Red BloodCells

6.23(1012/L)

5.29(1012/L)

4.80(1012/L)

4.53(1012/L)

4.66.2(1012/L)

White Blood

Cells

10.44

(109/L)

12.48

(109/L)

21.38

(109/L)

29.94

(109/L)

4.5 - 11

(109/L)

RESULTS NORMALVALUES

SIGNIFICANCE

08/25/13 08/26/13 08/29/13 08/25/13Differential CountNeutrophil NumberFraction

0.79 0.84 0.82 0.75 0.500.70Segmenters

Lymphocytes 0.16 0.10 0.10 0.22 0.20 -0.40

RESULTS NORMAL

VALUES

SIGNIFICANCE

08/25/13 08/26/13 08/29/13 08/25/13

Eosinophils 0.01 0.01 0.01 0.02 0.010.04

Monocyte 0.02 0.05 0.06 0.01 0.040.08

Basophil 0.01 0.01 0.01 0.00 0.000.01

MCH 27.60 27.80 27.70 27.80 26.2036.68

fmol

MCV 86.60 83.80 82.80 82.80 82.75100.5

fL

MCHC 31.90 33.20 33.70 33.60 31.6533.75g/L

Platelet 361 276 237 273 150450(109/L)

ESR 55mm/hr _____ _____ _____ 0-10mm/hr


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RESULTS NORMAL VALUES SIGNIFICANCE

ALT/SGPT 368.29 U/L 12-78 U/L


Uric Acid 770.30 Umol/L 155-428 Umol/L

Date: 08/25/13


FBS 15.50 mmol/L 4.1-5.9 mmol/L


Cholesterol 5.46 mmol/L 1.3-5.2 mmol/L

Triglycerides 2.13 mmol/L 0.17-1.70 mmol/L

HDL 1.09 mmol/L 0.90-1.55 mmol/L

LDL 3.40 mmol/L 0-3.9 mmol/L

RESULTS NORMAL

VALUE

SIGNFICANCE

Creatinine

08/25/13 08/26/13 08/29/13 08/31/13 09/03/13

53-115

Umol/L162.90

Umol/L

159.40

Umol/L

93.70

Umol/L

99.80

Umol/L

90.40

Umol/L


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Total Protein 86.20 g/L 64-82 g/L

Date: 08/25/13

RESULTS NORMAL VALUES SIGNIFICANCEAlbumin 49.30 g/L 34-50 g/L

Date: 08/25/13


Globulin 36.90 g/L 23-35 g/L

Date: 08/25/13


A/G Ratio 1.3 1.5-2.4 ..

RESULTS NORMAL

VALUES

SIGNIFICANCE

08/25/13 08/26/13 08/29/13 08/31/13 09/03/13

Sodium 147.6

mmol/L

146.2

mmol/L

142.4

mmol/L

136.2

mmol/L

139.1

mmol/L

135-148

mmol/L

Potassium 4.07

mmol/L

3.92

mmol/L

3.75

mmol/L

3.78

mmol/L

3.83

mmol/L

3.5-5.3

mmol/L

Calcium 2.01mmol/L

1.73mmol/L

_____ 3.50 1.95 2.12-2.52mmol/L

09/01/13

Magnesium 0.60mmol/L

0.74 -0.99mmol/L


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Date: 08/25/13

TYPE OF

EXAM

NORMAL

VALUES

UNIT RESULT SIGNIFICANCE OF ABNORMAL

RESULTS

Protime

Patient 11.5-15.5 sec 13.7 Within Normal Limits.% Activity - - 89%

INR - - 1.08

Normal Control 75-101 % 92

Date: 08/25/13

TYPE OF

EXAM

NORMAL

VALUES

UNIT RESULT SIGNIFICANCE OF ABNORMAL

RESULTS

Protime

APTT 24 - 35 sec 30.8 Within Normal Limits.

Normal Control 25 - 36 sec 32.9 Within Normal Limits

Date: 8-26-13

RESULTS VALUES SIGNIFICANCE

Hb1AC 5.3 % 4.05.6 % (normal)5.76.4 % (pre diabetes)

6.5 % and higer(diabetic)

Within normal limits.

Name of Examination: ETA, Gram stain, KOH

Results:

Date: 09/01/13

Gram stain > 500 polymorphonuclear cells/lpf

< 5 squamous epithelial cells/lpf

Occasional gram (+) cocci singly and pairsFew gram (-) bacilli

KOH: (-) fungi

Date: 08/25/13

Gram stain > 100 polymorphonuclear cells/lpf


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< 5 squamous epithelial cells/lpf

Occasional gram (-) bacilli and gram (+) cocci singly

Name of Examination: Culture and Sensitivity Testing

Specimen: Blood

Results:

Date: 08/28/13

No growth after 12 hours of incubation

No growth after 3 days of incubation

Date: 08/30/13

Mg 0.60 mmol/L 0.740.99 with specimen done twice

Date: 09/01/13

No growth after 7 days of incubation

Date: 09/04/13

MedicationHeavy Growth of

P. aeruginosaInterpretation Medication

Heavy Growth of

P. aeruginosaInterpretation

amikacin 21mm strong aztreonam 6mm resistant

cefepime 18mm strong ceftazidine 6mm resistant

ciprofloxacin 6mm resistant gentamycin 15mm strong

levofloxacin 14mm intermediate meroperem 6mmresistant

piperacillin 14mm resistantpiperacillin/

tazobactam9mm intermediate

ricarcillin 6mm resistant


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Fecalysis

Actual ValueNormal Value

Significance

08/25/13

ColorBrown Yellow-Brown

ConsistencyMucoid Solid and formed

Occult Blood------- Negative

MicroorganismNo ova or parasites

seenNegative

Utz

Results:

a. Liver: The liver is normal in size and parenchymal echopattern. No focal mass lesion.The intrahepatic ducts not dilated.

b. Common Bile Duct: The common bile duct is 0.4cm in its widest visualized diameter.c. Gallbladder: The gallbladder is not enlarged. The wall is not thickened. No

intraluminal ehoes seen.

d. Pancreas: The pancreas is obscured.e. Spleen: The spleen is normal in size and parenchymal echopattern. No focal masses

seen.

f. Kidneys: There is no significant disparity in the size of the kidneys. Right kidneymeasures 11.0 x 5.1 x 4.3 (L x W x AP) with cortical thickness of 1.0cm. Central echocomplex intact. Cortico- medullary demarcation well defined. No lithiasis or focal

lesions seen

g. Urinary Bladder: The urinary bladder is partially distended. Its wall is not thickened.No intraluminal echoes noted. Inflated FC 3 is seen intraluminally


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h. Prostate: The prostate is not enlarged, measuring 2.7 x 4.2 x 3.9 cm with approximateweight of 23.0g. No focal mass seen. There is no peripheral assymetry. Prostatic

capsule intact.

i. No ascitesRemarks:

NORMAL LIVER, GALLBLADDER, SPLEEN, KIDNEYS, PROSTATE

ULTRASOUND.

Cranial CTResults:

Plain tomographic sections of the head reveal no focal lesion on The ventricles are unenlarged Cerebral sulci and cisterns are intact. No extra- axial fluid demonstrated. The midline structures are undisplaced. The posterior fossa, brainstem,and sellon region do not appear unusual. The petromastoids, included orbits, paranasal sinuses and bony calvarium appear

unremarkable.

Impression

Essentially unremarkable plain cranial CT study.

CXR AP

Definition:

Results:

Follow- up study done as compared with previous film taken on 8/25/13 shows regression

of the hazy densities in both lungs.

ET is still seen with its tip approximately 1.5cm above the carina.

The rest of the findings are unremarkable.

Impression:

Pulmonary edema with regression.


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s/p ET insertion

Follow- up is suggested.

Doppler Echocardiography

Date: 09/02/13

i. Results and Findings:Actual Value Normal Value

EF% (m-mode) 65% (53.077.0) %

Impression:

Trivial mosaic color flow display across tricuspid valve during systole.

Normal mitral flow velocity E/A ratio

Normal pulmonary artery pressure by right ventricular acceleration time.

Conclusion:

Normal left ventricle with good wall motion contractility and systolic function

Trivial tricuspid regurgitation.

Normal pulmonary artery pressure.

ICU Case Pre - Labs Drft

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