CHAPTER VI

LABORATORY AND DIAGNOSTIC PROCEDURES

TEST PERFORMED: ABO AND Rh TYPING

Test Name Result

ABO Blood Typing 0
Rh Typing Positive

REMARKS: RH Blood is Positive

BLOOD CHEMISTRY

Test Name Result Range

Hemoglobin 136 120-160 g/L
Hematocrit 0.42 0.37-0.47 L/L
WBC Count 12.39 5.0-10.0 10^9/L
DIFFERENTIAL COUNT

Neutrophils 70 50/70%
Lymphocytes 25 20-40%
Monocytes 4 0-10%
Eosinophils 1 0-7%
Basophils 0 0-1%
Total 100
RBC Count 4.68 4.04-5.48 10^12/L
Platelet Count 261 150-400 10^9/L
RBC INDICES

MCV 89.50 80-100fL

MCH 29.00 27-31 pg
MCHC 324.00 310-360 g/L
RDW-CV 13.60 11-16%
RDW-SD 42.20 35-56fL
MPV 9.10 6.5-12fL

REMARKS: Increase in White Blood Cells

INTEREPRETATION: White Blood Cell is at 12.39 levels, which means WBC is above the normal

range of 5.0-10.0^9/L, this is an indication of Infection.

Laboratory and Diagnostic Procedures 24

SERELOGY

Test METHOD RESSULT CUT-OFF VALUE INTERPRETATION

HBsAg CMLIA 0.18 S/CO<1.00 NONREACTIVE

NONINTERACTIVE
> = 1.00
REACTIVE
Serologic Test CMLIA 0.04 S/CO<1.00 NONREACTIVE
Syphilis NONINTERACTIVE
> = 1.00
REACTIVE

REMARKS: NORMAL

INTERPRETATION: Both HbsAg test and Serologic Test Syphilis are within the normal range of

0.18 and 0.04, thus the result is Nonreactive.

ROUTE CHEMISTRY

SI Unit Conventional Unit

Test Name Instrument Result Unit Range Result Unit Range

Sodium AU480 137.01 mmol/L 136-145

Potassium AU480 3.87 mmol/L 3.5-5.1

4.64 to
Ionized Calcium C XI-921 1.27 mmol/L 1.27
5.28

Blood Urea
AU480 3.28 mmol/L 2.8-7.2 19.68 mg/dL 17-42
Nitrogen

Creatinine AU480 53.36 Umol/L 49-90 0.60 mg/dL 0.55-1.02

LDH AU480 218.96 U/L <247

Glucose, FBS AU480 4.26 mmol/L 4.1-5.9 76.76 Mg/dL 74-106

SGO/AST AU480 30.95 U/L < 35

SGPT/ALT AU480 17.84 U/L < 35

REMARKS: NORMAL

INTERPRETATION: The entire test in Route Chemistry is within the normal range.

Laboratory and Diagnostic Procedures 25

URINALYSIS

PHYSICAL EXAMIINATION
Color: Yellow

Appearance: Turbid

CHEMICAL EXAMINATION

Specific Gravity: 1.029 Glucose NEGATIVE

pH: 6.5 Ketone POSITIVE 1

Leukocyte Esterase: TRACE Urobilinogen NORMAL

Nitrites: NEGATIVE Bilirubin NEGATIVE

Urine Protein: Positive 1 Erythrocyte POSITIVE 1

Ascorbic Acid: 1.4 MicroAlbumin 150

Creatinine: 17.7 Calcium 2.5

MICROSCOPIC EXAMINATION

CONVETIONAL UNIT S.I UNIT

RESULT RESULT

Pus Cells: 3/HPF Pus Cells: 17/uL

Red Blood Cells: 30/HPF Red Blood Cells: 169

Yeast Cells: 0/HPF Yeast Cells: 0/uL

Bacteria: 1/HPF Bacteria: 6/uL

Squamous
Squamous Epithelial Cells: 116/HPF 40/uL
Epithelial Cells:
Non-Squamous Epithelial Non-Squamous
0/HPF 0/uL
Cells: Epithelial Cells:
Amorphous
Amorphous Materials: 61/HPF 21
Materials:
Uric Acid: 0/LPF Uric Acid: 0/uL

Calcium Oxalate: 61/LPF Calcium Oxalate: 0/uL

Triple Phosphate: 0/LPF Triple Phosphate: 0/uL

Laboratory and Diagnostic Procedures 26

 CAST 0 CAST 0/uL

Hyaine Casts: 0/LPF Hyaine Casts: 0/uL

Waxy Cast: 0/LPF Waxy Cast: 0/uL

Granular Casts: 0/LPF Granular Casts: 0/uL

REMARKS: Using the urinalysis, in the chemical examination it shows the presence of ketone, Ascorbic

acid, calcium and protein in the urine through chemical examination. Also, in the use of microscopic

examination Red Blood Cells and Squamous Epithelial Cells are present in the urine.

INTERPRETATION: The Urine Protein is elevated thus it indicating possibility of the presence of

preeclampsia.

Having the presence of Red Blood Cells indicating hematuria and Squamous Epithelial Cells can

indicate infection on the urinary tract or known as Urinary Tract Infection (UTI).

Laboratory and Diagnostic Procedures 27