CT SCAN RESULT

File #: 033-0098                                                             Date: 02-02-2011

Age: 73/F
Hospital #: 764978  
Name of the Patient: LUMNA, HUDJA
 
                        Multiple sequential axial tomographic sections of the head from skull base to
vertex without contrast reveals the following findings:
1.   No brain parenchyma hemorrhage. No abnormal extra axial fluid collection or hematoma.
2 III defined hypo density at the R internal capsule posterior limb and parietal periventricular
ventricle white matter.
3.    Cerebellum and pons are contact.
4.    There is no evidence of acute intracranial hemorrhage.
5.    No abnormal extra-axial fluid collection is demonstrated.
6.    The ventricles are normal in size & shape.
7.    No midline shifting is seen.
8.    The posterior Fossa Structures including the cerebellum, Pons & midbrain are normal
9.    Orbits sella & the petro mastoids are unremarkable.
10. There is mucoperiosteal thickening in the left ethnocide sinuses.
11. The rest of the included par nasal sinuses are clear.
Impression:
Acute Ischemic Heart Failure, right internal capsule posterior limb and right parietal
periventricular white matter.
  Left anterior ethroid sinusitis.
 
 
 
 
 
 
 

 
 
 
 BLOOD CHEMISTRY RESULT FOR
Name: Hospital #: 764928         
Age: 73/F                                                
TEST RESULT REFERENCES VALUES INTERPRETATION
BLOOD 133.3 (60-110) Mgs.%  
SUGAR(FBS,RBS,HPP
)
BLOOD UREA 29.3 (4.6-23.4) Mgs% Increased in acute
NITROGEN and chronic intrinsic
renal disease, in
states characterized
by decreased
effective circulating
blood volume with
decreased renal
perfusion, in
postrenal obstruction
of urine flow, and in
high protein intake
states.
ELECTROLYTES:        
POTASSIUM 3.85 3.5-5.3 mmol/l  
SODIUM 148.89 135-148 mmol/l Increase in serum
sodium is seen in
conditions with water
loss in excess of salt
loss, as in profuse
sweating, severe
diarrhea or vomiting,
polyuria (as in
diabetes mellitus or
insipidus),
hypergluco- or
mineralocorticoidism,
and inadequate water
intake
 
Neil Gatchalian                                           Maria Cynthia R. Herrera, MD., FPSP
Medical Technologist                                          Section Consultant Pathologist
 
 
 
 
 
 
Name: Rodriguez, Grace                                                  Ward: ER-1M
Physician: Dr. Managuite                               Exam Date: 9/17/10           Case #: 764978          
URINAlYSIS REPORT
Phys Interpretations Chem Interpretations
ical ical
Prop Prope
ertie rties:
s:
Colo Cloudy urine or urine with a high level Protei Elevated protein levels can also
r: da of sediment may be present in cases of ns:  + indicate that a person has eaten a lot of
rk urinary tract infection. 4 meat recently or that they have a
yello urinary tract infection.
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bSWNaY1
Clari Cloudy urine or urine with a high level Gluco  
ty: of sediment may be present in cases of se:
hazy urinary tract infection. negati
ve
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more: http://www.brighthub.com/scien
ce/medical/articles/30891.aspx#ixzz10
bSvaH2E
Odor   Biliru  
: bin:
Ph:   Urobi  
6.0 linoge
n:
Spec Specific gravity between 1.002 and Estera  
ific 1.035 on a random sample should be se:
gravi considered normal if kidney function
ty: is normal
1.03
0
    Keton  
es:
    Nitrat  
es:
    Blood  If one or more red cells can be found
:  +3 in every high power field, and if
contamination is ruled out, the
specimen reflects some abnormality. 
    Leuk  
ocyte
s:
 
SEDIMENT/MICROSCOPIC EXAMINATION
Test Interpretations
Epithelial cells: occasional  
Pus cells (WBC):0-1  Two or more
leukocytes per
each high power
field appear in
non-contaminated
urine, the
specimen is
probably
abnormal.
Leukocytes have
lobed nuclei and
granular
cytoplasm.
RBC: +00 numerous  
+0 count.
 
Bacteria: moderate  
 
Monalisa c. Tan-Estareja R.M.T                    Maximo A. Saavedra, MD, FPSP
Medical Technologist                                     Pathologist Section Consultant
 
 
 
 
 
 
 
Name: Rodriguez, Grace                                                  Ward: ER-1M
 Exam Date: 9/20/10                                                        Case #: 764578          
URINALYSIS REPORT
Physi Interpretations Chem Interpretations
cal ical
Prope Prope
rties: rties:
Color   Protei Elevated protein levels can also
: yell ns:  + indicate that a person has eaten a lot of
ow 2 meat recently or that they have a
urinary tract infection.

Read
more: http://www.brighthub.com/scien
ce/medical/articles/30891.aspx#ixzz10
 bSWNaY1
Clarit Cloudy urine or urine with a high Gluco  
y: level of sediment may be present in se:
hazy cases of urinary tract infection. negati
ve
Read
more: http://www.brighthub.com/scie
nce/medical/articles/30891.aspx#ixzz1
0bSvaH2E
Odor:   Biliru  
bin:
Ph:   Urobi  
6.5 linog
en:
Speci Specific gravity between 1.002 and Ester  
fic 1.035 on a random sample should be ase:
gravit considered normal if kidney function
y: is normal
1.020
    Keton  
es:
    Nitrat  
es:
    Blood  
:
    Leuk  
ocyte
s:
 
SEDIMENT/MICROSCOPIC EXAMINATION
Test Interpretations
Epithelial cells: few  
Pus cells (WBC):2-3 Two or more
leukocytes per
each high power
field appear in
non-contaminated
urine, the
specimen is
probably
abnormal.
Leukocytes have
lobed nuclei and
granular
cytoplasm
 RBC: plenty Hematuria is the
presence of
abnormal numbers
of red cells in
urine due to any of
several possible
causes, e.g.
glomerular
damage, tumors
which erode the
urinary tract
anywhere along its
length, kidney
trauma, urinary
tract stones, renal
infarcts, acute
tubular necrosis,
upper and lower
urinary tract
infections,
nephrotoxins, and
physical stress
(like a contact
sport, or long
distance running
for example)
Bacteria: Few  
 
Marigol C. Acompanado, RM                           Maria Cynthia R. Herrera, MD., FPSP
Medical Technologist                                          Section Consultant Pathologist
 
 
 
 
 
 
 
HEMATOLOGIC REPORT
Name: Rodriguez, Grace       Sample I.D: 255                   Rooms: ER-IM
Physician: Dr.Managuitte       Exam Date: 9/18/10               A: 46
Test Result Unit References Interpretations
WHITE BLOOD 11.6 10^3/uL 5.0-10.0 An elevated WBC count
CELLS occurs in infection, allergy,
systemic illness,
inflammation, tissue injury,
and leukemia
 RED BLOOD 5.16 10^6/uL 4.2-5.4 An elevated RBC count may
CELLS be caused by dehydration,
hypoxia (decreased oxygen),
or a disease called
polycythemia vera.
HEMOGLOBIN 12.9 g/dL 12.0-16.0 Normal findings
HEMATOCRIT 39.2 % 37.0-47.0 Normal findings
MCV 76.0 fL 82.0-98.0 When the MCV is below
normal, the RBCs will be
smaller than normal and are
described as microcytic.
MCH 25.0 Pg 27.0-31.0 A decrease in the number or
size of red cells also
decreases the amount of
space they occupy, resulting
in a lower hematocrit
MCHC 32.9 g/dL 31.5-35.0  
RDW-CV 13.5 fL 12.0-17.0  
PDW 9.2 fL 9.0-16.0  
MPV 8.5 fL 8.0-12.0  
DIFFERENTIAL        
COUNT
LYMPHOCYTE 9.7 % 17.4-48.2  
(%)
NEUTROPHIL 86.5 % 43.4-76.2  
(%)
MONOCYTE 3.7 % 4.5-10.5  
(%)
EOSINOPHIL 0.0 % 1.0-3.0  
(%)
BASOPHIL (%) 0.1 % 0.0-2.0  
BANDS/ STABS   % 1.0-2.0  
(%)
PLATELET 293 10^3/UL 150-400  
 
Monalisa C. Tan Estrareja,RMT                                      Erodulf L.Petilla, MD,DPJP
Medical technologist                                                         Pathology
 
 
BLOOD CHEMISTRY RESULT FORM
Name: Rodriguez, Grace                      Hospital #: 764078          S.F          Ward: P1F3
Physician: Dr. Gonzales                         Index date: 9/22/10         A: 43
 
Test Result Unit References Values Interpretations
Cholesterol 175.4 mg/dl 0.0 261.0  
 HDL 57.2 mg/dL 45.0 120.0  
GLUCOSE 127.4 mg/dL 59.9 110.1  
TRIGIL 68.4 mg/dL 43.0 149.0 ecreased serum
triglycerides are seen
in
abetalipoproteinemia,
chronic obstructive
pulmonary disease,
hyperthyroidism,
malnutrition, and
malabsorption states.
LDL 104.5 g/dL 0.0 151.0  
 
 
BLOOD CHEMISTRY RESULT
Test Result Normal Interpretations
Values
Hb AIc 5.6% <6.5%  
Felicia S. Concon                                              Maria Cynthia R. Herrera, MD., FPSP
Medical Technologist                                          Section Consultant Pathologist