IV.

DIAGNOSTIC AND LABORATORY REPORT

1. Haematology
Date: 09/22/09
Test Result Unit Reference Analysis Significance
values
Leukocyte 16.6 10ˆ9/L 4.5-11 Elevated
Haemoglobin 60 g/L M:140-180 Low
F:120-140
Differential
count:
Segmenters 0.74 0.40-0.65 Elevated
Lymphocyte 0.26 0.20-0.40 Normal

Date: 09/24/09
Test Result Unit Reference Analysis Significance
values
Erythrocytes 1.87 10ˆ12/L M:4.6-6.2 Low
F:4.2-5.4
Haemoglobin 28.8 g/L M:140-180 Low
F:120-140
Hematocrit 0.119 % M:0.40-0.54 Low
F:0.38-0.47
Leukocyte 11.79 10ˆ9/L 4.5-11 Slightly
elevated
Neutrophil 0.746 %
Eosinophil 0.020 %
Basophil 0.002 %
Lymphocyte 0.184 %
Monocyte 0.048 %
Thrombocyte 402 10ˆ9/L 150-400 Slightly
elevated
MCH 15.44 pg 27-31 Low
MCV 63.59 fl 80-96 Low
MCHC 0.24 0.32-0.36 Low
Date: 09/28/09
Test Result Unit Reference Analysis Significance
values
Erythrocytes 4.66 10ˆ12/L M:4.6-6.2 Normal
F:4.2-5.4
Haemoglobin 113.5 g/L M:140-180 Slightly
F:120-140 decreased
Hematocrit 0.356 % M:0.40-0.54 Slightly
F:0.38-0.47 decreased
Leukocyte 8.99 10ˆ9/L 4.5-11 Normal
Neutrophil 0.624 %
Eosinophil 0.068 %
Basophil 0.003 %
Lymphocyte 0.201 %
Monocyte 0.107 %
Thrombocyte 367 10ˆ9/L 150-400 Normal
MCH 24.36 pg 27-31 Slightly ↓
MCV 76.41 fl 80-96 Slightly ↓
MCHC 0.32 0.32-0.36 Normal

Date: 09/30/09
Test Result Unit Reference Analysis Significance
values
Erythrocytes 4.45 10ˆ12/L M:4.6-6.2 Normal
F:4.2-5.4
Haemoglobin 110 g/L M:140-180 Slightly
F:120-140 decreased
Hematocrit 0.354 % M:0.40-0.54 Slightly
F:0.38-0.47 decreased
Leukocyte 8.63 10ˆ9/L 4.5-11 Normal
Neutrophil 0.724 %
Eosinophil 0.024 %
Basophil 0.004 %
Lymphocyte 0.176 %
Monocyte 0.072 %
Thrombocyte 316 10ˆ9/L 150-400 Normal
MCH 24.70 pg 27-31 Slightly ↓
MCV 79.54 fl 80-96 Slightly ↓
MCHC 0.31 0.32-0.36 Slightly ↓
2. Clinical Chemistry Report
Test Result Unit Reference Analysis Significance
values
Creatinine 99.20 Mmol/l 53.1-115 Normal
Sodium 144.1 Mmol/l 135-148 Normal
Potassium 3.92 Mmol/l 3.5-5.5 Normal

3. Clinical Microscopy Report: Urinalysis

Macroscopic 09/24/09 09/29/09 Normal Analysis Significance
Result Result finding
Color Light yellow Light yellow Amber
Transparency Slightly Slightly Clear
turbid turbid
Specific 1.025 1.010
Gravity
Reaction 6 6
Albumin Negative Negative
Sugar Negative Negative
Ketones Negative Negative
Microscopic
Pus cells 0-4 2-4 0-1
RBC 20-25 20-25 None
Amorphous Moderate Few
urates
Amorphous None None
phosphates
Epithelial cells Moderate Few
Mucus threads None None
Bacteria Few Few

4. PT & APTT
Test Result Unit Reference Analysis Significance
values
Protime test 12.4 Second 10-15 Normal
Control 12.2 Second 10-14 Normal
% Activity 80% % 70-120 Normal
INR 1.03 ≤1.2 Normal
APTT test 33.9 Second 26.1-36.3 Normal
Control 32 Second 25-35 Normal
5. Ultrasound Report
Date: 09/22/09
Examination: Pelvic
Findings:
The uterus is enlarged measuring about 16.4x9.6x11.2 cm, with a heterogeneous mass in
the fundal area measuring 10.5x8.1 cm. Another hypoechoic solid mass is noted in the anterior
wall of the lower uterine segment measuring 5.4x4.8 cm which causes a focal bulge in the
uterine contour.
The endometrium is thickened measuring 4.5 cm and inhomogeneous with poorly defined
margins.

Impressions:
Uterine myomas, submucous with subserous component
Endometrial hyperplasia
Unremarkable adnexae