Print Date :14 September 2017 | 18:32:40

Name : Mr HARSH KOUSHAL Registration No. : 2151971

Age/Sex : 18yrs / Male Episode No. : OP06887108

Specimen :   BLOOD

  Authorised by NAZMA on 09/09/2017 at 12:59

 
  Erythrocyte Sedimentation Rate Automated
  ESR (Westergren) 4 mm(1st hr) (<11)
 

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Specimen :   BLOOD

  Authorised by Dr. Loveena Rastogi on 09/09/2017 at 18:31

 
  Complete Blood Count Automated/Microscopy
  Cell Counter Sysmex XN 1000
 
  Haemoglobin 15.1 g/dl (13.0-17.0)
  TLC 7.1 thous/ul (4.0-10.0)
  Platelet Count 224 thous/ul (150-450)
  PCV 45.9 % (40.0-50.0)
  RBC 4.57 mill/ul (4.50-5.50)
  MCV 100.4 fl (83.0-101.0)
  MCH 33.0 pg (26.7-31.7)
  MCHC 32.9 g/dl (31.5-34.5)
  RDW 12.5 % (11.6-14.0)
  Differential Leukocyte Count (DLC)
  Neutrophils 57 % (40-80)
  Lymphocytes 14 % (20-40)
  Eosinophils 17 % (1-6)
  Monocytes 12 % (2-10)
  ANC 4047 /ul (2000-7000)
  ALC 994 /ul (1000-3000)
  AEC 1207 /ul (20-500)
  AMC 852 /ul (200-1000)
 

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Specimen :   BLOOD

  Authorised by Dr. Promila Pankaj on 09/09/2017 at 13:32

 
  CLIA METHOD
  Thyroid Stimulating Hormone 4.66 uIU/ml (0.20-5.10)
 

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Specimen :   BLOOD

  Authorised by Harmala Walia on 11/09/2017 at 15:33

 
 
 
  Lab No. F -2384/17
 
  Test Results for Anti Nuclear Antibodies by Indirect Immunofluorescence
  (ANA - IIF)
 
  Result: Negative
  Pattern:
  Intensity:
  Titre: 1:100
 
 
 
  Dr. Seema Rao
  Consultant Pathologist
  nr
  Fluorescence Intensity: (+: Weak, ++: Moderate, +++: Strong, ++++:
  Very Strong Intensity pattern)
  Pattern
  Type of Antibody / Antigenic determinants
  Disease Associations
  Homogenous
  dsDNA, Nucleosomes (Chromatin), Histones
  SLE, Drug Induced LE, other Rheumatic diseases
  Speckled
  Sm, U1-RNP, SSA(Ro), SSB(La), Scl-70
  SLE, Sjögren’s Syndrome, Mixed Connective Tissue Disease, Evolving
  Rheumatic Disease, Scleroderma
  SSA
  SSA
  Sjogren’s Syndrome, SLE, Neonatal Lupus
  Nucleolar
  Fibrillarin, Pm-Scl, RNA Polymerase, NOR90, Th-To
  Scleroderma, Scleroderma/Myositis
  Centromere
  CENP A, B, C
  CREST form of Scleroderma
  Nuclear Dots
  Sp-100, MND, NSp-I
  Primary Biliary Cirrhosis
  PCNA
  PCNA
  SLE
  Nuclear Membrane
  Nuclear Lamins
  Lupoid Hepatitis, SLE, RA
  Cytoplasmic
  Mitochondria, Actin, Vimentin, Golgi Appratus, Jo-1, Ribosomes
  Autoimmune Hepatitis, Myositis, Primary Biliary Cirrhosis, SLE
 
  Note: ANA is reported in low titres in a significant proportion of healthy
  population and results need to be correlated clinically. Autoantibodies
  may not always correlate with the observed pattern and confirmatory tests
  for positive results are recommended where available.
 

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Specimen :   URINE

  Authorised by SURJIT KAUR on 09/09/2017 at 15:08

 
  Urine Examination
  Routine By Reagent Strip
  Appearance Light Yellow Visual Examination
  Urine Type Clear Visual Examination
  pH 6.0 Colour Reaction
  Specific gravity 1.030 Colour of acid-base indicator
  Protein/Albumin Negative NIL Colour of acid-base indicator
  Sugar/Reducing substance Negative NIL Enzyme Reaction
  Acetone Negative NIL Legal's test
  Microscopic Microscopic Examination
  Red blood cells Nil /hpf (0-2)
  White blood cells 0-2 /hpf (0-5)
  Epithelial cells 2-5 /hpf
  Casts Absent
  Crystals Absent
 
  Comments:
  Appearance:- Yellow/Yellow-orange is seen in case of fever, thyrotoxicosis, starvation,
  acriflavine, urobilin in excess or bilirubin.
  Protein:- False Positive results are seen in the patients on quinine or quinoline
  containing drugs.
  Acetone:- Drugs and diagnostics on the basis of phenolphthalein or sulphophthalein may turn
  red to purple because of alkaline reaction.
 

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Specimen :   BLOOD

  Authorised by DR. ANJALI MANOCHA on 09/09/2017 at 12:48

  HEPATIC PROFILE
 
  BILIRUBIN(TOTAL) 0.80 mg/dL (0.20-1.00) Diazo assay
  BILIRUBIN(DIRECT) 0.11 mg/dL (0.00-0.20) Diazo assay
  TOTAL PROTEIN 6.90 gm/dL (6.60-8.70) Biuret assay
  ALBUMIN 4.66 gm/dL (3.50-5.00) BCP
  GLOBULIN 2.24 gm/dL (1.80-3.60) Calculated
  A/G RATIO 2.08 2:1 Albumin / Globulin
  AST/SGOT 18.00 IU/L (0.00-42.00) UV kinetic
  ALT/SGPT 25.00 IU/L (0.00-60.00) UV kinetic
  ALK PHOSPHATASE 114.00 IU/L (39.00-117.00) AMP PNP
  GGT 11.00 IU/L (0.00-55.00) Enzymatic Kinetic
 
 
  High serum bilirubin levels (jaundice) can typically be caused by infections
  or obstructions in the hepatobiliary system. Infections are usually associated
  with increases in the AST and ALT enzymes whereas obstructive pathology
  is associated with increased levels of alkaline phosphatase. Raised
  gamma-GT is associated with induction by specific substances like some drugs,
  alcohol, etc. In addition, toxicity due to several drugs (antituberculars,
  statins, anti-epileptics, immunosuppressants, etc.) can also cause raised
  levels of liver enzymes.
  Proteins are not only the building blocks of our body but also carriers
  of major enzymes, hormones and medicinal substances in the blood stream.
  A significant decrease in total protein concentration arises from a low albumin
  which may be due to dietary deficiency, decreased synthesis or decreased immune
  response. A significant increase in total proteins is due to globulin
  being in excess as in multiple myeloma.
 

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Specimen :   BLOOD

  Authorised by DR. ANJALI MANOCHA on 09/09/2017 at 12:25

 
  Glucose (F) 88.00 mg/dL (70.00-100.00) Hexokinase
 

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Specimen :   BLOOD

  Authorised by DR. ANJALI MANOCHA on 09/09/2017 at 12:32

 
 
  RENAL BIOCHEMICAL PROFILE - BASIC
  BUN 13.80 mg/dL (5.00-23.00) Urease Kinetic
  Creatinine 0.99 mg/dL (0.60-1.30) Jaffe kinetic(IDMS)
  Calcium 9.56 mg/dL (8.20-10.40) ISE (Indirect)
  Phosphorous 4.50 mg/dL (2.50-4.60) Phosphomolybdate UV
  Sodium 137.00 mEq/L (132.00-148.00) ISE(Indirect)
  Potassium 4.30 mEq/L (3.50-5.50) ISE(Indirect)
  Chloride 101.20 mEq/L (98.00-108.00) ISE (Indirect)
  Bicarbonate 25.60 mmd/L (22.00-32.00) ISE (Indirect)
  A raised Blood Urea Nitrogen (BUN) can be caused by several different
  conditions, mostly involving the kidneys. Serum creatinine, in conjunction
  with the BUN, helps to differentiate between these conditions. A normal creatinine
  does not exclude renal disease as a loss of 50% of renal function is
  required to increase the creatinine from 1.0 to 2.0 mg/dL.
  A high serum uric acid is indicative of gout or renal failure, but it can
  be affected by several other factors, e.g. diet, drug or alcohol intake,
  or other disease conditions.
  Calcium and phosphorous are major minerals of the body which are involved
  in the normal functioning of bones and neuromuscular junctions,
  and in the formation of renal calculi.
  Sodium and potassium are the major electrolytes of our body, which maintain
  reciprocal concentrations in the intracellular and the extracellular compartments.
  In renal failure, calcium levels may decrease, and potassium and
  phosphorus levels may increase.
  Bicarbonate measurements are used in the diagnosis and treatment of disorders
  associated with changes in body acid - base balance.
 

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Specimen :   BLOOD

  Authorised by DR. ANJALI MANOCHA on 09/09/2017 at 13:59

  Uric Acid 6.90 mg/dL (2.40-7.20) Uricase assay
 

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Specimen :   BLOOD
  Authorised by DR. ANJALI MANOCHA on 09/09/2017 at 13:59
 
  Total IgE >1000.00 KIU/L (<150.00)
 
 
  Methodology: Enzyme Linked Fluorescent Assay (ELFA)
 

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