HEMATOLOGY

Nier, Emma 26y/o F

Date: 06/26/11Time:6am Blood Components Hemoglobin Hematocrit RBC WBC Segmenters Lymphocytes Plateletcount Results
170 0.51 5.6 5.3 0.74 0.31 125

Normal Values
120-160g/L 0.36-0.47 4.2-5.4 x 10 12/L 5-10 x 10 9/L 0.55- 0.65 0.25- 0.35 150- 400 x 10 9/L

Date: 06/26/11 Blood Components Hemoglobin Hematocrit RBC WBC Segmenters Lymphocytes Plateletcount Results
150 0.45 5.0 7.0 0.67 0.31 128

Time: 12nn Normal Values

120- 160 g/L 0.36- 0.47 4.2- 5.4 x 10 12/L 5- 10 x 10 9/L 0.55- 0.65 0.25- 0.35 150- 400 x 10 9/L

Date: 06/26/11 Blood Components Hemoglobin Hematocrit RBC WBC Segmenters Lymphocytes Plateletcount Results
136 0.41 4.5 4.90 0.70 0.26 80

Time: 6pm Normal Values

120- 160 g/L 0.36- 0.47 4.2- 5.4 x 10 12/L 5- 10 x 10 9/L 0.55- 0.65 0.25- 0.35 150- 400 x 10 9/L

Date: 06/27/11 Blood Components Hemoglobin Hematocrit RBC WBC Segmenters Lymphocytes Plateletcount Results
140 0.42 4.6 4.7 0.67 0.32 69

Time: 6am Normal Values

120- 160 g/L 0.36- 0.47 4.2- 5.4 x 10 12/L 5- 10 x 10 9/L 0.55- 0.65 0.25- 0.35 150- 400 x 10 9/L

Date: 06/27/11 Blood Components Hemoglobin Hematocrit RBC WBC Segmenters Lymphocytes Plateletcount Results
146 0.44 4.80 6.0 0.68 0.32 85

Time: 12nn Normal Values

120- 160 g/L 0.36- 0.47 4.2- 5.4 x 10 12/L 5- 10 x 10 9/L 0.55- 0.65 0.25- 0.35 150- 400 x 10 9/L

Date: 06/27/11 Blood Components Hemoglobin Hematocrit Plateletcount Results

144 0.43 80

Time: 6pm Normal Values

120- 160 g/L 0.36- 0.47 150- 400 x 10 9/L

Date: 06/28/11 Blood Components Hemoglobin Hematocrit Plateletcount Results

144 0.42 85

Time: 6am Normal Values

120- 160 g/L 0.36- 0.47 150- 400 x 10 9/L

Date: 06/28/11 Blood Components Hemoglobin Hematocrit Plateletcount Results

130 0.39 120

Time: 12nn Normal Values

120- 160 g/L 0.36- 0.47 150- 400 x 10 9/L

Date: 06/28/11 Blood Components Hemoglobin Hematocrit RBC WBC Segmenters Lymphocytes Plateletcount Results
133 0.40 4.53 7.0 0.46 0.54 120

Time: 6pm Normal Values

120- 160 g/L 0.36- 0.47 4.2- 5.4 x 10 12/L 5- 10 x 10 9/L 0.55- 0.65 0.25- 0.35 150- 400 x 10 9/L

Blood Components Hematocrit

Significance and Analysis The hematocrit or packed cell volume is a fast way to determine the percentage of RBCs in the plasma. If the hematocrit increased it may result to: Polycythemia, Dehydration and Burns. If decreased it may result to: Blood loss, Over hydration, Dietary deficiency and Anemia

Hemoglobin

Hemoglobin also plays an important role in maintaining the shape of the red blood cells.Abnormal hemoglobin structurecan, therefore, disrupt the shape of red bloodcells and impede its function and its flow through blood vessels. RBC carries oxygen from the lungs to body tissuesand totransfer carbon dioxide from the tissues to the lungs. High numbers of RBCs may indicate:
y

RBC

y y y

Low oxygen tension in the blood o Congenital heart disease o Cor pulmonale o Pulmonary fibrosis Polycythemia vera Dehydration (such as from severe diarrhea) Renal (kidney) disease with high erythropoietin production

Low numbers of RBCs may indicate:

y

y y y y y y

Blood loss o Anemia (various types) o Hemorrhage Bone marrow failure (for example, from radiation, toxin, fibrosis, tumor) Erythropoietin deficiency (secondary to renal disease) Hemolysis (RBC destruction) Leukemia Multiple myeloma Malnutrition (nutritional deficiencies of iron, folate, vitamin B12, or vitamin B6)

WBC

WBC plays a role in immune system function. Low WBCplaces the patient at risk for a fatal infection. HighWBC indicates massive infection or a serious disease such as leukemia. Low numbers of WBCs (leukopenia) may indicate:
y y y y y

Bone marrow failure (for example, due to infection, tumor or fibrosis) Presence of cytotoxic substance Autoimmune/collagen-vascular diseases (such as lupus erythematosus) Disease of the liver or spleen Radiation exposure

High numbers of WBCs (leukocytosis) may indicate:

y y y y y

Infectious diseases Inflammatory disease (such as rheumatoid arthritis or allergy) Leukemia Severe emotional or physical stress Tissue damage (such as burns)

Segmenters

Lymphocytes

Plateletcount

Elevation of segmentersmayindicates presenceof infection; meansthat many band(immature) cells arepresent as the bodyfights infection. A low lymphocytecount indicates thatthebody'sresistance to fightinfection has beensubstantially lost and one may become more susceptible to certain types of infection, namelycancer and tumor.As lymphocyte cellsmake up fifteen toforty percent of thetotal white bloodcells that circulate inthe bloodstream, alow count can causedamage to organs. Platelets are cells in the Blood which are necessary to help Blood clot. Lowplatelet counts are called thrombocytopenia which can be caused by some drugs.

Alterations (high in number)

6 5 4 3 2 1 0

Abnormal findings (high count)

Interpretation: The graph as shown above summarizes the alteration (high count) from the various hematology test result of the patient. Segmenter has the most number of high count alterations which indicatepresenceof infection. High RBC, which includes hemoglobin and hematocrit may result to polycythemia, dehydration and burns.

Alterations (low in number)

10 5 0 Platelet Segmenter count WBC Abnormal findings (low count)

Interpretation: The graph as shown above summarizes the alteration (low count) from the various hematology test result of the patient. Platelets consistently have the most low count blood alteration which indicates a high risk for injury and potential bleeding. Low WBC counts, which include low segmenter indicates that the patient is at risk for a fatal infection.

SEROLOGY

Nier, Emma 26y/o F

Date: 06/27/11 IgG IgM Interpretation: No serological evidence of infection with Toxoplasma. negative negative

BLOOD CHEMISTRY

Results Sodium Potassium

134.4 3.0

Normal Values
135- 148 mm ol/L 3.50- 5.30 mm ol/L

Interpretation: Sodium functions in the body to maintain osmotic pressure, acid-base balance and to transmit nerve impulses. Low sodium levels may due to diuretic usage, andexcessivewaterintake in patientswith heart or liverdisease.Potassium is the major intracellular cation. Low potassium level can cause muscle weakness and heart problem.

Roengenologic Report Focal left lower lobe fibrosis is noted. No active parenchymal infiltrates seen. Heart appears enlarge with left ventricular form. No other significant chest findings.