ainiseton fronts on i aks agjNinae el acta provizes Baimman regional laboratory Depertnane of Henatlogy/Flow Cytometry (Ghimatoh dite ath Sire Quiling #4 Avail lig ‘Phone 0138155698 Fax 0138155661 1 alo) lh dey A al coil gulag spae gyal gy Cab darian gous cn381s5661 560138155658: a é Galt-dammam@moh.gov.sa HEMATOLOGY DEPARTMENT, REGIONAL LABORATORY & BLOOD BANK Dammam, Saudi Arabia FLOWCYTOMETRY RESULTS REPORT No: Date received: 21/12/2021 Patient: Agel sex. 30yrs /M File No: 20325844 . Hospital: Al-Manna GH-KH Ward: Physician: Dr. Ahmed Clinical Deta “Panoytopenia - Flow Cytometry Results ‘he testis done with 100, 000 Events Acquired, using Gating antibodies CD45, CD64, CD15 and GPI Linked stibodies CD24, FLAER for Granulocytes and CD14, FLAER for Monocytes. ‘CELL LINE 7 [CONTROL PATIENT MARKER | % % MONO FLAER/CDIG 100 9 FLARE”CDI 0 03 FLARE’CDIS 0 39 GRAN CONTROL PATIENT MARKER % % FLAER'/CD24" 100) I 2 FLARE CD24" 0 i 02 FLARE’CD24" 0 { 98 ‘CELL TYPE Deficiency CONT [PATIENT RBCs | TypeT (CD59) 100 B Type I (partial CDS deficiency) 0 35 “Type II (Complete CD59 deficiency) 0 1 Peripheral Smear Report : Hb-10.2 gm / dl, WBC= 3450cells / cumm, Platelets = 133000/ cumm Mild pancytopenia, leucopenia, neutropenia , mild normocytic normochromic anaemia and mild thrombocytopenia CONCLUSION : FLOWCYTOMETRY ANALYSIS DONE ON PERIPHERAL BLOOD WITH A SENSITIVITY OF ( 0.025%) REVEALED A PNH CLONE OF ABOUT 98% WITHIN GRNAULOYTES, ABOUT 89% WITHIN MONOCYTES AND (54%) IN THE RBC POPULATION. N.B. DECREASED PNH CLONE IN THE RBC IS MOST PROBABLY DUE TO BLOOD TRANSFUSION?? ‘Note: This Test wos Developed and its Performance characteristics Determined By Dammam Regional Laboratory Ithas not been cleared or Approved by the US Food and Drug Administration. uy Consultant Hematopathologist Dr. Azza Abou Alam Date: 21/12/2021- . rn ~=b GoLosig ito) Statin 9 ACH ALMANA GENERAL HOSPITALS. yg Radiology and Medical Imaging Department Khobar Patient Name: Age/Gender: 30 Male MR Number: 20325844 Accession: 121136590 Referring Dr: Dr. ABDUL NASER MHD SOUHIL NOURALLAH Nationality: EGYPTIAN Exam Date: 22/11/2021 US ABDOMEN Clinical information: PANCYTOPENIA Findings: Liver: is seen average size and shows homogenous, uniform echotexture. Intra-hepatic vessels aré well visualized. Portal veins and hepatic veins appear normal in calibers, No intra-hepatic biliary dilatation seen, No focal masses can be made out. Common Bile Duct: lumen is echo free and average in diameter Gall Bladder: Shows normal distension and normal wall thickness. GB shows multiple small hyperechoic structures attached to the wall without posterior shadowing, features keeping with multiple gallbladder polyps. Pancreas: Reveals no gross pathology. Spleen: is seen average in size and homogenous echotexture. Reveals no gross pathology. Both Kidneys : Look normal in site, size & contour, Show normal parenchymal thickness & collecting system on both sides. No evidence of hydronephrosis or hydroureter or stones or mass, Right Kidney:11.3 x 5.0 x 1.7 (Lx AP x CT) om & Left Kidney: 11.4 x 4.9 x 11.8 (Lx AP x CT) cm Urinary Bladder: Is free from stones or mass./ Upper Peritoneal Cavity: No evidence of ascites, Reported By: Dr. Moshammad Nazneen Akhter Radiologist, ID # 25624 Finalized Date:22/11/2021 Time:11:09:07 * Computer Generated Report.No Signature required P.0.Box 311-Al Khobar 31952 KSA,Tel No:013 898 7000,www.almanahospital.com.sa wt(C ORDERS AND PROCEDURE i 7 TEL: mes800 FAK: e4980004 toontteseNes uss j0020325844[i danas bcm ORDERNO.: OF 96989 Dare: 2anaaen1 ENCOUNTERNO.: 270210 REG.#/PATIENTNAME: 0020325844. AGEIGENDER: 30Yrs/Male—Dateof Birth: 20/11/1991 1 GRMPODRiruiuer, 997+ PAVUNIVA REFERRAL CASES Problem Deseriti FOLLOWUP PAYMENTTVPE: CREDIT et Compan Remarks ALLERGIES Te Aersy aera mt BIAGNoSIS “en code Design \ S05 Parry enclhamoloblawis [Marcia Miche) Resetion Remarks Intolerance S.No, Service Code Service Name INJECTIONS. VACCINATIONS AND WUEMSSION collection tit Fasting Stat 1 212075, ewvac VACCINE No VACCINATIONS AND CLINICAL ISSUES No ‘Sample Source Later mal a Mebane SE 112079 PREVENAR VAC SYRING we st ‘Sample Source | a Patent Signature: Physician Stamp: ae HEREROAGH-Khobat 1.0. Box 31 ALKobar 31952 TEL: 64900 FAX: s1880604 ORDERS AND PROCEDURE HuphsiLereetac — emtsieteone loo20325844 {1 sdetngainenapitcom ORDERNO.: OFI961957 pave: 2einne ENCOUNTERNO.: «270210 REG.#/ PATIENT NAME: 0020325844- AGHIGENDER: 30Yrw/Male Date of Birth: 20/11/1991 COMPANY: 35922-TAWUNIVA-REFERRAL CASES PAYMENT TYPE: CREDIT ‘citer COMPLAINT Problem Deseription (Clef Complaat Remarks FoLLow UP ALLERGIES pe Alersy Reaction Remarks Inteerance NOKNOWS Wo ALLERGIES BIAGNOSIS TED Code Dexrption Diagnosis Remarks S95 __Parrysol anual haemoglobin [Marea Micbl] ‘Remark Collection Limit Fasting Stat [[sine, Seren code_sentca name a INJECTIONS, VACCINATIONS AND INFUSION VACCINATIONS AND CLINICAL ISSUES 1 112087 ENACTRA 4 MCG SOLUTIONS FOR IMECTION No Ne Sample Source Aateratty na\nie we Tiss a Compater Generated Report, No Signature Required Physician Name: ABDULNASER MHD SOUMIL NOURALLAH, “achalean Nam / Signatur kate; ee nt Stgnature rystean Samp Physician Ta Extension Printed om: 26122021 6:13:399M