Diagnosis
Diagnostic Procedure Description of the Procedure
Complete Blood Count CBC may order when a person
Feb. 29, 2020 has been diagnosed with a
disease known to affect blood
cells, a CBC will often be
ordered regularly to monitor
their condition. When an
individual has fatigue or has an
infection, inflammation,
bruising, or bleeding, a health
practitioner may order a CBC to
help diagnose the cause and/or
determine its severity.
Significance/ Purpose of the Significant findings Findings and implication
Procedure
The CBC provides valuable Hemoglobin Low hemoglobin and hematocrit
information about the blood and Normal value: 120 – 160 g/L can indicate Anemia
to some extent the bone marrow. Result: 105
which is the blood-forming
tissue. to identify a person may Hematocrit
have an infection, anemia, acute Normal Range: 0.37 – 0.47/L
or chronic illness, bleeding Result: 0.31
tendencies, white blood cell
disorder such as leukemia and to
monitor treatment for anemia
and other blood diseases.
Leukocyte Not within the normal range.
Normal Range: 4.5 -11.0 X 10 Increase WBC signifies infection
9/L in the body.
Result: 14.7
Neutrophils Not within the normal range.
Normal Range: 0.51 – 0.67
Result: 0.88
Lymphocytes Not within the normal range.
Normal Range: 0.25 – 0.40
Result: 0.12
Monocytes No Result
Normal Range: 0.02 – 0.08
Result: No Result
Basophils No Result
Normal Range: 0.00 – 0.01
Result: No Result
Eosinophils No Result
Normal Range: 0.01 – 0.03

Ultrasound An ultrasound scan uses high-
frequency sound waves to make
Feb. 29, 2020 an image of a person’s internal
body structures. Doctors
commonly use ultrasound to
study a developing fetus (unborn
baby), a person’s abdominal and
pelvic organs, muscles and
tendons, or their heart and blood
vessels. The ultrasound machine
directs high-frequency sound
waves at the internal body
structures being examined. The
reflected sounds, or echoes, are
recorded to create an image that
can be seen on a monitor.
Urinalysis A urinalysis is a group of tests
Feb. 29, 2020 that detect and semi –
quantitively measure various
compounds that are eliminated in
the urine, including the
byproducts of normal and
abnormal metabolism as well as
cell, and cellular fragments.
Ultrasound was performed and
used to many different
procedures such as pregnancy
scans it is used to check for fetal
abnormalities (such as spina
bifida), check the age and
position of a fetus, and monitor
fetal growth and development.
Undergoing an ultrasound scan is
now considered routine for
pregnant women.
Urinalysis is performed to check
your overall health as part of a
routine medical exam, pregnancy
checkup, pre-surgery
preparation, or on hospital
admission to screen for a variety
of disorders, such as diabetes,
kidney disease and liver disease.
To diagnose a medical condition
if you're experiencing abdominal
pain, back pain, frequent or
painful urination, blood in your
urine, or other urinary problems.
Result: No Result
Platelet Count
Normal Range: 150-450 x 10 9/L
Result:273
Physical Examination
Color
Normal Finding: Yellow (light/
pale to dark/deep amber)
Result: Yellow
Within the normal range.
Ultrasound reveals there is a
single live intrauterine
pregnancy in cephalic
presentation with active fetal
movements and good cardiac
pulsation of 148 beats per minute
and CRL that are compatible
with 35 weeks and 6 days age of
gestation. Placenta is posterior in
location, grade II with tip
partially encroaching the internal
os. Amniotic fluid is adequate
for trimester with AFI of 14.65
cm.
These findings noted that client
was 35 weeks and 6 days age of
gestation with 8/8 placenta
previa placenta previa partialis
Within the normal range.
A urinalysis may help diagnose
the cause of these symptoms.
Appearance

Normal Finding: Clear Not within the normal range.

Result: Slightly Turbid

Chemical Examination

Specific Gravity Within the normal range.

Normal Range: 1. 005 – 1.030

Result: 1.010
Leukocyte
Within the normal range
Normal finding: Negative
Result: Negative - Normal
Nitrites
Within the normal range
Normal Finding: Negative
Result: Negative – Normal
Protein
Within the normal range
Normal Finding: Negative
Result: Negative – Normal
Glucose
Within the normal range
Normal Finding: Negative
Result: Negative - Normal
Ketones
Within the normal range
Normal Finding: Negative
Result: Negative – Normal
Bilirubin
Within the normal range
Normal Finding: Negative
Result: Negative – Normal
Erythrocyte
Within the normal range
Normal Finding: Negative
Result: Negative – Normal
Microscopic Examination
Within the normal range
Pus Cell

Normal Range: 0-4 hff

Result: 1-2 Normal
Red Blood Cells
No Result
Normal Range:<2 hpf
Result: No Result
Epithelial Cells
Within the normal range
Normal Finding: Rare
Result: Occasional Normal

Bacteria Ensure hygiene and proper

treatment to reduce risk of
Normal Finding: None acquiring UTI
Result: Few
Mucus Thread

Normal Finding: Rare Within the normal range

Result: Rare Normal

Amorphous Materials
Normal Finding: None
Result: None Normal
Uric Acid
Within the normal range
Normal Finding: None
Result: None Normal
Reference: https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/ultrasound-scan
https://slideplayer.com/slide/13188377/
https://www.slideshare.net/meducationdotnet/complete-blood-count-57366485
https://slideplayer.com/slide/5876463/
https://www.mayoclinic.org/tests-procedures/urinalysis/about/pac-20384907