3:‫ﺱ‬ 2 ‫ ﺁﻗﺎﻱ ﺩﮐﺘﺮ ﮐﻴﻮﻣﺮﺙ ﺧﺪﺍﺑﺨﺶ‬: ‫ ﭘﺰﺷﮏ ﻣﻌﺎﻟﺞ‬1402/04/25 : ‫ ﺗــﺎﺭﻳﺦ ﭘﺬﻳﺮﺵ‬5599895475 : ‫ﮐﺪ ﻣﻠﻲ‬ 04-8851 : ‫ﺷﻤــــﺎﺭﻩ ﭘﺬﻳﺮﺵ‬

۴ ‫ ﺍﺯ‬۱ :‫ﺹ‬ ‫ ﺳﺎﻝ‬36 : ‫ﺳﻦ‬ ‫ ﺁﻗﺎﻱ ﻣﺤﻤﺪ ﻗﻬﺮﻣﺎﻧﻲ‬: ‫ﻧﺎﻡ ﻣﺮﺍﺟﻌﻪ ﮐﻨﻨﺪﻩ‬

Biochemistry
Test Result Unit Normal Range

Fasting Blood Sugar H 148 mg/dL Normal :<100 prediabet:100-125

Diabet:> or=126

Cholesterol H 215 mg/dL >12years: Normal : <200 borderline high :200-239

High :> or=240
Triglycerides H 295 mg/dL Normal:<200 Borderline high :200-400
High :400-1000 very high :>1000
Creatinine 0.95 mg/dL 18 - 90years: 0.5-1.4

H=High
Fasting Blood Sugar Cholesterol

Triglycerides Creatinine

Hematology
Test Result Unit Normal Range Differential
C.B.C
W.B.C. 9.1 10*3/µL Male:>10years:4-10 Neutrophils 54.1 %
R.B.C. 5.78 10*6/µL Male:>4 years: 4-6 Lymphocytes 37.0 %
Hgb 15.5 g/dL Male:>16years: 13.5-18 Monocytes 5.0 %
HCT 45.5 % Male:>16years: 42-52 Eosinophils 3.3 %
M.C.V. 78.8 fL 78 - 100 Basophils 0.6 %
M.C.H. 27.0 pg 27 - 34
M.C.H.C. 34 g/dL 31 - 35.5
RDW-CV 13.4 % 11.6 - 14.6
Platelets 307 10*3/µL 140 - 450
PDW 16 fL 9.4 - 18.1
 4 ‫ ﺍﺯ‬2 ‫ﺹ‬ ‫ ﺳﺎﻝ‬36 : ‫ﺳﻦ‬ ‫ ﺁﻗﺎﻱ ﻣﺤﻤﺪ ﻗﻬﺮﻣﺎﻧﻲ‬: ‫ﻧﺎﻡ ﻣﺮﺍﺟﻌﻪ ﮐﻨﻨﺪﻩ‬ 04-8851 : ‫ﺷﻤﺎﺭﻩ ﭘﺬﻳﺮﺵ‬

Hematology
Test Result Unit Normal Range Differential
MPV 10 fL 6.5 - 12
P-LCR 22.1 % 17 - 47
CBC was performed by MINDRAY BC-6000 full diff cell counter equipped by laser scatter, chemical dye, flow cytometer,
electronic impendence and autoloader technology. The instrument has "European Conformity" (CE).

Hb A1c - HPLC Method

Test Result Unit Method Normal Range

Hb A1C . . . . . . . . . . . . . . . . . . . . . . . . . . 6.8 % Theraputic goal for glycemic control :

Adult :
Goal of therapy : <7.0 %
Action suggested : >8.0 %
<6 Years : <8.5 % (but >7.5%)
6-12 Years :<8.0 %
13-19 Years :<7.5 %

Estimated average glucose(eAG) . . . . . 148 mg/dL

Hb A1C . . . . . . . . . . . . . . . . . . . . . . . . . 50 mMol HPLC Healthy individual:<53
A1c/Mol Needs to improve:54-63
Hb Much to high:64-86
Extremely high:>86
HbA1C measurment was performed by HPLC bronate affinity ( Gold Standard) method with FDA, CE, IFCC & NGSP certifications
using Primier Hb 9210 instrument ( Trinity Biotech, USA).
This method is able to detect all of glycated species Hemoglubin wirh no interference from Hb variants. The result is certified to report
in both IFCC ( mMol HbA1C/mol Hb) & NGSP ( % Hb A1C) units.
Hb A1C Hb A1C

Immunoassays-biological marker
Test Result Unit Method Normal Range

T4(thyroxine) . . . . . . . . . . . . . . . . . . . . . 63 nmol/L ECL/CL >10years:60-160

TBI(T3UP) (ECL) . . . . . . . . . . . . . . . . . . 1.12 Index ECL <0.8 : hyperthypidism or low TBG
>1.3 : hypothyroidsm or High TBG
FTI . . . . . . . . . . . . . . . . . . . . . . . . . . .L 56.3 nmol/L ECL >10years:60-160
T3(ECL) . . . . . . . . . . . . . . . . . . . . . . . . . 1.1 nmol/L ECL 0.8 - 2.4
 4 ‫ ﺍﺯ‬3 ‫ﺹ‬ ‫ ﺳﺎﻝ‬36 : ‫ﺳﻦ‬ ‫ ﺁﻗﺎﻱ ﻣﺤﻤﺪ ﻗﻬﺮﻣﺎﻧﻲ‬: ‫ﻧﺎﻡ ﻣﺮﺍﺟﻌﻪ ﮐﻨﻨﺪﻩ‬ 04-8851 : ‫ﺷﻤﺎﺭﻩ ﭘﺬﻳﺮﺵ‬

Immunoassays-biological marker
Test Result Unit Method Normal Range

TSH (ECL) . . . . . . . . . . . . . . . . . . . . . H 11.13 µIU/ml ECL Kit reference range: 0.27-4.2

6-54years: 0.27- 5.0
Biological & diurnal variance: up to 50%
of mean value
H=High L=Low
TSH (ECL) TSH (ECL)

The test(s) were performed by Cobas e411 instrument (fully automated,Electrochemiluminescence technology) & Roche kits
(Germany). It provides superior analytical performance with high sensitive parallel to PCR3 & wide measuring ranges.

Immunoassays-CLIA
Test Result Unit Method Normal Range

Anti-thyroid peroxidase(Anti TPO) H >2000 IU/ml CLIA Up to 16

H=High
The test(s) was performed by LIASION fully automated analyser adopts "Flash" chemiluminescence technology (CLLA) with a
paramagnetic micro particle solid phase (Diasorin-Italy, CE).

Urine biochemistry
Test Result Unit Normal Range

Urine Creatinine 24 hrs 1307 mg/24hrs Male:20-26 mg/kg/24hrs

or for adult :800-2000 mg/24 hrs
Creatinine Clearance 96 ml/min Male:80-135

Urine Micro Albumin 24 hrs H 148* mg/24hrs <30:normal

30-300:microalbumiuria
>300:macroalbumiuria
U-24h Albumine /Creatinine Ratio H 113.24 mg/g creatinine Normal:<30
Microalbuminuria:30-300
Clinical Albumiuria:>300
Urine Protein 24 hrs H 600 mg/24hrs <150

Urine protein :Creatinine Ratio(24h) H 0.46 Ratio Normal :<0.2,low proteinuria:0.2-1

Mod proteinuria :1-5,Nephrosis :>5
Urine Volume 24 hrs H 2970 ml/24hrs 600-2500 Infant :100-450

* = Confirmed by Repeated Analysis H=High

Urine Creatinine 24 hrs Urine Protein 24 hrs
‫‪4‬‬ ‫ﺹ ‪ 4‬ﺍﺯ‬ ‫ﺳﻦ ‪ 36 :‬ﺳﺎﻝ‬ ‫ﻧﺎﻡ ﻣﺮﺍﺟﻌﻪ ﮐﻨﻨﺪﻩ ‪ :‬ﺁﻗﺎﻱ ﻣﺤﻤﺪ ﻗﻬﺮﻣﺎﻧﻲ‬ ‫ﺷﻤﺎﺭﻩ ﭘﺬﻳﺮﺵ ‪04-8851 :‬‬

‫‪Dr.F.Hajmanoochehri‬‬