Complete Urine Examination (CUE), Urine: MR.P V Rama Rao

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Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998090

Age / Gender : 68 Years / Male Registered on : 25-Nov-2021 / 09:37 AM
Ref.By : - Collected on : 25-Nov-2021 / 09:37 AM
BIL1527381 Reported on : 25-Nov-2021 / 13:19 PM

Req.No : Phasorz Technologies Private
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BIL1527381 TEST REPORT
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DEPARTMENT OF CLINICAL PATHOLOGY

Complete Urine Examination (CUE), Urine
Investigation Result Biological Reference Intervals
Physical Examination
Colour Pale Yellow Straw to Yellow
Method:Physical
Appearance Slightly Turbid Clear
Method:Physical
Chemical Examination
Reaction and pH Acidic (6.5) 4.6-8.0
Method:Methyl Red & Bromothymol Blue
Specific gravity 1.020 1.003-1.035
Method:Bromothymol Blue
Protein Negative Negative
Method:Tetrabromophenol blue
Glucose Negative Negative
Method:Glucose oxidase/Peroxidase
Blood Negative Negative
Method:Peroxidase
Ketones Negative Negative
Method:Sodium Nitroprusside
Bilirubin Negative Negative
Method:Dichloroanilinediazonium
Leucocytes Positive (Trace) Negative
Method:3 hydroxy5 phenylpyrrole + diazonium
Nitrites Negative Negative
Method:Diazonium + 1,2,3,4 tetrahydrobenzo (h) quinolin 3
-ol
Urobilinogen Negative 0.2-1.0 mg/dl
Method:Dimethyl aminobenzaldehyde
Microscopic Examination
Pus cells (leukocytes) 4-5/hpf 2 - 3 /hpf
Epithelial cells 2-3/hpf 2 - 5 /hpf
RBC (erythrocytes) Absent Absent
/hpf
Casts Absent Occasional hyaline casts may be seen
Crystals Absent Phosphate, oxalate, or urate crystals
may be seen
Others Nil Nil
Note Kindly correlate clinically
Page 1 of 19

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Method: Semi Quantitative test ,For CUE
Reference: Godkar Clinical Diagnosis and Management by Laboratory Methods, First South Asia edition. Product
kit literature.
Interpretation:
The complete urinalysis provides a number of measurements which look for abnormalities in the urine. Abnormal
results from this test can be indicative of a number of conditions including kidney disease, urinary tract infecation or
elevated levels of substances which the body is trying to remove through the urine . A urinalysis test can help
identify potential health problems even when a person is asymptomatic. All the abnormal results are to be
correlated clinically.
* Sample processed at Vizag - RPC

Plot No.75,Varun Health Centre Building,VIP Road, Asilmetta
--- End Of Report ---
Dr.Aruna K
Consultant Pathologist
Page 2 of 19
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DEPARTMENT OF HEMATOLOGY
Complete Blood Picture (CBP), EDTA Whole Blood
Investigation Observed Value Biological Reference Interval
Hemoglobin 14.7 13-17 g/dL
PCV/HCT. 44.1 40.0-50.0 vol%
Total RBC Count: 4.90 4.50-5.50 mill /cu.mm
MCV. 81.7 83.0-101.0 fL
Method:Calculated
MCH. 29.6 27.0-32.0 pg
Method:Calculated
MCHC. 36.2 31.5-34.5 g/dL
Method:Calculated
RDW (CV). 11.6 11.6-14.0 %
MPV 9.8 7.0-10.0 fL
Method:Calculated
Total WBC Count: 10000 4000-10000 cells/cumm
Method:Flow cytometry
Platelet Count. 2.01 1.50-4.10 lakhs/cumm
Method:Flow Cytometry, ADVIA 2120i Hematology
Analyzer
Differential Count
Neutrophils: 36.9 40.0-80.0 %
Lymphocytes: 50.0 20.0-40.0 %
Eosinophils. 4.4 1.0-6.0 %
Monocytes. 7.0 2.0-10.0 %
Basophils. 1.7 0.0-2.0 %
Method:Peroxidase, Microscopy
Absolute Neutrophil Count. 3690 2000-7000 cells/cumm
Absolute Lymphocyte Count. 5000 1000-3000 cells/cumm
Method:Calculated
Absolute Eosinophil Count. 440 20-500 cells/cumm
Absolute Monocyte Count. 700 200-1000 cells/cumm
Absolute Basophil Count. 170 20-100 cells/cumm
Neutrophil - Lymphocyte Ratio(NLR) 1 0.78-3.53
Method:Calculated
Peripheral Blood Smear Examination
RBC Normocytic Normochromic
WBC Normal in Morphology & Distribution
Platelets Adequate
Impression : Normal blood Picture
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DEPARTMENT OF HEMATOLOGY
Method: Automated Hematology Analyzer, Microscopy
Reference: Dacie and Lewis Practical Hematology,12th Edition
Interpretation: A Complete Blood Picture (CBP) is a screening test which can aid in the diagnosis of a variety of
conditions and diseases such as anemia, leukemia, bleeding disorders and infections. This test is also useful in
monitoring a person's reaction to treatment when a condition which affects blood cells has been diagnosed. All the
abnormal results are to be correlated clinically.
Note: These results are generated by a fully automated hematology analyzer and the differential count is computed
from a total of several thousands of cells. Therefore the differential count appears in decimalised numbers and may
not add upto exactly 100. It may fall between 99 and 101.

Dr.Aruna K
Page 4 of 19
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DEPARTMENT OF CLINICAL BIOCHEMISTRY I

25 - Hydroxy Vitamin D, Serum
25 - Hydroxy Vitamin D 21.95 Deficiency: < 20 ng/mL
Method:CLIA Insufficiency: 20 - 30 ng/mL
Sufficiency: 30 - 100 ng/mL
Toxicity: > 100 ng/mL
Note: Kindly correlate clinically
Interpretation: This test is used to measure the level of Vitamin D in the blood. Vitamin D is necessary for the
proper growth and health of teeth and bones. It also helps in the healthy development of the immune system as
well as various tissues throughout the body. Vitamin D typically comes from 2 sources. D3 (cholecalciferol) is
produced by the body when the skin is exposed to sunlight. D2 (ergocalciferol) is found in certain foods as well as
vitamins and supplements. This test provides a combined measurement for D2 and D3.Symptoms of vitamin D
deficiency can include tiredness, weakness, aches and pains and frequent infections. Vitamin D levels
measurement diagnoses its deficiency as well as its toxicity.

Dr.Aruna K
Page 5 of 19
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Alkaline Phosphatase (ALP), Serum
ALP (Alkaline Phosphatase) 85 46-116 U/L

Method:PNPP-AMP Kinetic
Interpretation: ALP activity originates in the liver and skeleton. It is an indicator of hepatobiliary diseases and
osteoblastic bone diseases.

Dr.Aruna K
Page 6 of 19
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Blood Urea Nitrogen (BUN), Serum
Blood Urea Nitrogen. 10.2 7-18 mg/dL
Method:Calculated
Urea. 22 17.1-49.2 mg/dL
Method:Kinetic UV
Interpretation: Urea is a waste product formed in the liver when protein is metabolized. Urea is released by the
liver into the blood and is carried to the kidneys, where it is filtered out of the blood and released into the urine.
Since this is a continuous process, there is usually a small but stable amount of urea nitrogen in the blood.
However, when the kidneys cannot filter wastes out of the blood due to disease or damage, then the level of urea in
the blood will rise. The blood urea nitrogen (BUN) evaluates kidney function in a wide range of circumstances, to
diagnose kidney disease, and to monitor people with acute or chronic kidney dysfunction or failure. It also may be
used to evaluate a person's general health status as well.
Reference: Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics

Dr.Aruna K
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Creatinine, Serum
Creatinine. 1.0 0.70-1.20 mg/dL
Method:Jaffe Method
Interpretation: Creatinine is a nitrogenous waste product produced by muscles from creatinine. Creatinine is
majorly filtered from the blood by the kidneys and released into the urine, so serum creatinine levels are usually a
good indicator of kidney function. Serum creatinine is more specific and more sensitive indicator of renal function
as compared to BUN because it is produced from muscle at a constant rate and its level in blood is not affected by
protein catabolism or other exogenous products. It is also not reabsorbed and very little is secreted by tubules
making it a reliable marker. Serum creatinine levels are increased in pre renal, renal and post renal azotemia,
active acromegaly and gigantism. Decreased serum creatinine levels are seen in pregnancy and increasing age.

Dr.Aruna K
Page 8 of 19
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Electrolytes, Serum
Sodium 142 136-145 mmol/L
Method:ISE Indirect
Potassium 4.8 3.5-5.1 mmol/L
Method:ISE Indirect
Chloride 100 98-107 mmol/L
Method:ISE Indirect
Interpretation: Electrolyte profile is the determination of body fluid concentrations of the four major electrolytes
(sodium, potassium, chloride and bicarbonate). Serum electrolytes have a role in water homeostasis, acid ±base
balance, muscle function, etc. Abnormal electrolyte concentrations may be the cause or consequence of several
medical disorders and require clinical correlation.
Disclaimer:
Test results released pertain to the specimen submitted. All test result are dependent on the quality of the sample received by the
laboratory. Test result may show interlaboratory variations.Laboratory investigation are only a tool to faciliate in arriving at a diagnosis and
should be clinically correlated by the Referring Physician.
Dr.Aruna K
Page 9 of 19
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Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998091F

BIL1527381 Reported on : 25-Nov-2021 / 10:57 AM

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Glucose Fasting (FBS), Sodium Fluoride Plasma
Glucose Fasting 88 Normal: <100 mg/dL
Method:Hexokinase
Impaired FG: 100-125 mg/dL
Diabetes mellitus: >/=126 mg/dL
Interpretation: It measures the Glucose levels in the blood with a prior fasting of 9-12 hours. The test helps screen a
symptomatic/ asymptomatic person who is at risk for Diabetes. It is also used for regular monitoring of glucose
levels in people with Diabetes.
Reference: American Diabetes Association. Standards of Medical Care in Diabetes-2020.

Dr.Aruna K
Page 10 of 19
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BIL1527381 Reported on : 25-Nov-2021 / 11:19 AM

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Glycosylated Hemoglobin (HbA1C), EDTA Whole Blood
Glycosylated Hemoglobin (HbA1c) 6.68 Non-diabetic: <= 5.6 %
Method:High-Performance Liquid Chromatography
Pre-diabetic: 5.7 - 6.4 %
Diabetic: >= 6.5 %
Estimated Average Glucose (eAG) 145
Method:Calculated
Interpretation: It is an index of long-term blood glucose concentrations and a measure of the risk for developing
microvascular complications in patients with diabetes. Absolute risks of retinopathy and nephropathy are directly
proportional to the mean HbA1c concentration. In persons without diabetes, HbA1c is directly related to risk of
cardiovascular disease.
In known diabetic patients, HbA1c can be considered as a tool for monitoring the glycemic control.
Excellent Control - 6 to 7 %,
Fair to Good Control - 7 to 8 %,
Unsatisfactory Control - 8 to 10 %
and Poor Control - More than 10 %.
Reference: American Diabetes Association. Standards of Medical Care in Diabetes-2018.
Dr.Aruna K
Page 11 of 19
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Lipid Profile, Serum
Total Cholesterol 269 50-240 mg/dL
Method:Cholesterol Oxidase
HDL Cholesterol 42 40-60 mg/dL

Method:Direct Measurement
VLDL Cholesterol 80 6.0-38.0 mg/dL
Method:Calculated
LDL Cholesterol 147
Triglycerides 402 40-200 mg/dL
Method:Enzymatic end point
Chol/HDL Ratio 6.40 3.5-5.0

LDL Cholesterol/HDL Ratio 4
Interpretation: Lipids are fats and fat-like substances which are important constituents of cells and are rich sources
of energy. A lipid profile typically includes total cholesterol, high density lipoproteins (HDL), low density lipoprotein
(LDL), chylomicrons, triglycerides, very low density lipoproteins (VLDL), Cholesterol/HDL ratio .The lipid profile is
used to assess the risk of developing a heart disease and to monitor its treatment. The results of the lipid profile are
evaluated along with other known risk factors associated with heart disease to plan and monitor treatment.
Treatment options require clinical correlation.Reference: Third Report of the National Cholesterol Education
program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult
Treatment Panel III), JAMA 2001.

Dr.Aruna K
Page 12 of 19
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Liver Function Test (LFT), Serum
Total Bilirubin 0.7 0.20-1.00 mg/dL
Method:Dichloroanilinediazonium
Direct Bilirubin 0.2 0.00-0.20 mg/dL
Method:Diazotization
Indirect Bilirubin 0.50 0.00-0.80 mg/dL
Method:Calculated
Alanine Aminotransferase (ALT/SGPT) 20 <45 U/L
Method:UV Kinetic/Modified IFCC with P5P
Aspartate Aminotransferase (AST/SGOT) 38 35- U/L
Method:UV Kinetic/Modified IFCC with P5P
ALP (Alkaline Phosphatase) 85 46-116 U/L
Method:PNPP-AMP Kinetic
Total Protein 8.1 6.4-8.2 g/dL
Method:Biuret
Albumin 4.2 3.4-5.0 g/dL
Method:Bromocresol Purple (BCP)
Globulin 3.9 1.8-3.8 g/dL
Method:Calculated
A/G Ratio 1.1 0.8-2.0
Method:Calculated
Interpretation: Liver functions tests help to identify liver disease, its severity, and its type. Generally these tests are
performed in combination, are abnormal in liver disease, and the pattern of abnormality is indicative of the nature of
liver disease. An isolated abnormality of a single liver function test usually means a non-hepatic cause. If several
liver function tests are simultaneously abnormal, then hepatic etiology is likely.
Dr.Aruna K
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Phosphorus, Serum
Phosphorus 3.2 2.5-4.9 mg/dL
Method:Phosphomolybdate - UV
Intepretation: Phosphorus is a vital component of bones & teeth, several lipoproteins and nucleoproteins.
Phosphorus levels are important to diagnose and monitor treatment of various conditions that cause calcium and
phosphorus imbalances. Phosphorus levels in urine samples are vital to monitor its elimination by the kidneys.

Dr.Aruna K
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Thyroid Profile (T3,T4,TSH), Serum
Triiodothyronine Total (T3) 1.06 0.40-1.81 ng/mL
Method:CLIA
Thyroxine Total (T4) 7.89 5.0-10.7 µg/dL
Method:CLIA
Ultra Sensitive Thyroid Stimulating Hormone 2.01 0.4-4.5 µIU/mL
(U.TSH)
Method:CLIA
Interpretation: A thyroid profile is used to evaluate thyroid function and/or help diagnose hypothyroidism and
hyperthyroidism due to various thyroid disorders. T4 and T3 are hormones produced by the thyroid gland. They
help control the rate at which the body uses energy, and are regulated by a feedback system. TSH from the
pituitary gland stimulates the production and release of T4 (primarily) and T3 by the thyroid. Most of the T4 and T3
circulate in the blood bound to protein. A small percentage is free (not bound) and is the biologically active form of
the hormones.
Reference: Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics, Carl A. Burtis, David E. Bruns.
Dr.Aruna K
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Urea, Serum
Urea. 21 17.1-49.2 mg/dL
Method:Kinetic UV
Note: Kindly correlate clinically
Interpretation: Urea is the major nitrogen-containing metabolic product of protein and amino acid catabolism. It is
increased in pre-renal uraemic conditions such as high protein diet, increased protein catabolism, Gastrointestinal
hemorrhage, dehydration, heart failure, etc. post-renal uremia is seen in malignancy, nephrolithiasis and
prostatism.
Reference: Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics.

Dr.Aruna K
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Uric Acid, Serum
Uric Acid. 6.7 3.4-7.0 mg/dL
Method:Uricase
Interpretation: It is the major product of purine catabolism. Hyperuricemia can result due to increased formation or
decreased excretion of uric acid which can be due to several causes like metabolic disorders, psoriasis, tissue
hypoxia, pre-eclampsia, alcohol, lead poisoning, acute or chronic kidney disease, etc. Hypouricemia may be seen
in severe hepato cellular disease and defective renal tubular reabsorption of uric acid.

Dr.Aruna K
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Calcium, Serum
Calcium 8.7 8.5-10.1 mg/dL
Method:O-Cresolphthalein Complexone
Interpretation: Calcium is essential for bones, heart, nerves, kidneys, and teeth. Serum calcium levels are vital to
detect hypocalcemia, hypercalcemia and associated disorders. Parathormone (PTH) and vitamin D are responsible
for maintaining calcium concentrations in the blood within a narrow range of values. Serum calcium levels are
diagnostic in cases of Kidney stones, Bone diseases and Neurologic disorders.

Dr.Aruna K
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Bun/Creatinine Ratio, Serum
Investigation Observed Value
BUN/Creatinine Ratio. 10
Method:Calculated
Blood Urea Nitrogen. 10.2 7-18 mg/dL
Method:Calculated
Creatinine. 1.0 0.70-1.20 mg/dL
Method:Jaffe Method
Reference:
A Manual of Laboratory Diagnostic Tests. Edition 7, Lippincott Williams and Wilkins, By Frances Talaska
Fischbach, RN, BSN, MSN, and Marshall Barnett Dunning 111, BS, MS, Ph.D.

Dr.Aruna K
Page 19 of 19

Complete Urine Examination (CUE), Urine: MR.P V Rama Rao

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TO VERIFY THE REPORT ONLINE

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998090

BIL1527381 Reported on : 25-Nov-2021 / 13:19 PM

DEPARTMENT OF CLINICAL PATHOLOGY

BIL1527381 Reported on : 25-Nov-2021 / 13:19 PM

Method: Semi Quantitative test ,For CUE

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998089

BIL1527381 Reported on : 25-Nov-2021 / 13:19 PM

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998089

BIL1527381 Reported on : 25-Nov-2021 / 13:19 PM

Method: Automated Hematology Analyzer, Microscopy

Reference: Dacie and Lewis Practical Hematology,12th Edition

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 14:02 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 12:42 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

ALP (Alkaline Phosphatase) 85 46-116 U/L

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 12:42 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

Reference: Tietz Fundamentals of Clinical Chemistry and Molecular Diagnostics

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 12:42 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 12:42 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998091F

BIL1527381 Reported on : 25-Nov-2021 / 10:57 AM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

Reference: American Diabetes Association. Standards of Medical Care in Diabetes-2020.

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998089

BIL1527381 Reported on : 25-Nov-2021 / 11:19 AM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 12:42 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

HDL Cholesterol 42 40-60 mg/dL

Chol/HDL Ratio 6.40 3.5-5.0

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 12:42 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 12:42 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

* Sample processed at Vizag - RPC

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 14:02 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I

Name : MR.P V RAMA RAO TID/SID : UMR0599247/ 21998088

BIL1527381 Reported on : 25-Nov-2021 / 12:42 PM

DEPARTMENT OF CLINICAL BIOCHEMISTRY I