COMPLETE BLOOD COUNT (CBC with E.S.R).

Reference No. : 201276144 Age/Sex : 40 Years FEMALE Reg. Date : 01/12/2020 12:36

Patient : MRS. MARIYAM SOHRAB Delivery : EMAIL Collected : 01/12/2020 12:51

Sample Type : Blood Received :

Ref. Doctor : SELF Reported : 01/12/2020 13:31

Hospital/NH : Print Date 01/12/2020 14:04

Investigation Result Biological Units

Reference Interval
HEMOGLOBIN, Blood(SLS Hemoglobin) 12.1 12.00 - 15.00 g/dl

PACKED CELL VOLUME, Blood(Impedence) 36.9 36 - 46 %

TLC, Blood (Flow cytometry) 7350.00 4000 - 11000 /cumm

D.L.C., Blood (Flow Cytometry)

POLYMORPHS 66.0 44.00 - 68.00 %

LYMPHOCYTES 25.00 25.00 - 44.00 %

EOSINOPHILS 2.0 0.00 - 4.00 %

MONOCYTES 7.00 0.00 - 7.00 %

ABSOLUTE NEUTROPHIL COUNT(Blood, 4851.00 2000 - 7000 /Cu mm

Calculated).
ABSOLUTE LYMPHOCYTE COUNT(Blood, 1837.50 1000 - 3000 /Cu mm
Calculated).
ABSOLUTE EOSINOPHIL COUNT BLOOD, 147.00 20 - 500 /Cu mm
(Calculated)
PLATELET COUNT, Blood (Impedence) 162.00 150 - 410 1000/Cumm

E.S.R, Blood(Capillary Photometry) 32.00 0.00 - 20.00 1st hour

R B C COUNT, Blood (Impedence) 3.93 3.8 - 4.8 10^12/L

MCV, Blood(Calculated) 93.89 83 - 101 fl

MCH, Blood(Calculated) 30.79 27.00 - 32.60 Pg

MCHC, Blood(Calculated) 32.79 31.50 - 34.50 gm/dl

RDW, Blood (Calculated) 13.0 11.6 - 14.0 %

COMMENTS ON PERIPHERAL SMEAR : The red blood cells are normocytic and normochromic. The white
(Microscopy, Leishman stain) cells are normal. The platelets are adequate.
*Test performed by SYSMEX XN-550.
Absolute Neutrophil Count (ANC) <1000 - Markedly increased susceptibility of infectious diseases.
- Absolute Neutrophil Count (ANC) <500 control of endogenous microbial flora impaired.
- Absolute Neutrophil Count (ANC) <200 absent inflammatory processes.
Comments:
*** END OF REPORT ***

Page 1 of 4 Consultant Pathologist / Microbiologist

 D-DIMER

Reference No. : 201276144 Age/Sex : 40 Years FEMALE Reg. Date : 01/12/2020 12:36

Patient : MRS. MARIYAM SOHRAB Delivery : EMAIL Collected : 01/12/2020 12:51

Sample Type : Blood Received :

Ref. Doctor : SELF Reported : 01/12/2020 13:10

Hospital/NH : Print Date 01/12/2020 14:04

Investigation Result Biological Units

Reference Interval
D-DIMER, Plasma(Latex Slide Agglutination) 160.00 0 - 200 ng/ml

INTERPRETATION

LESS THAN 200 ng/ml NEGATIVE

MORE THAN 200 ng/ml POSITIVE

During coagulation sequence of reactions occur in the body in response to variety of external and or internal stimuli. The
enzymatic cascade reaction terminates in the conversion of FIBRINOGEN to fibrin, by the enzyme THROMBIN. The fibrin gel is
then converted to a stable fibrin clet by thrombin activated Factor XIII.

Finally, the fibrin network is dissolved by the enzyme PLASMIN to generate cross-linked fibrin degradation products (XL FDP).
D-Dimer comprising of two D fragments cross linked together, is the smallest plasmin
resistant molecular unit present within XL FDP.

Detection of D-Dimer is invaluable as a diagnostic marker for thrombotic conditions such as DIC, DVT and PE. D-Dimer levels
can also be used to monitor thrombolytic therapy with tPA and with streptokinase, thrombotic complications in pregnancy,
acute myocardial infarction, sickle cell crisis, severe septic infections liver disease,
DIC accompanying snake bite and prognosis and response to therapy in cancer.

REMARKS
1. D-Dimer half-life is approximately 6 hours in circulation of individuals with normal renal function. Patients with stabilized
clots and not undergoing active fibrin deposition and plasmin activation may not give detectable D-Dimer elevations

2. In PE, the larger the clot size, higher the expected level of circulating D-Dimer. Conversely, the amount of D-Dimer released
from very small clots may be diluted by the circulation and may notgive a detectable increase .

3. Fibrinolysis is a highly regulated process and in delicate dynamic balance. In case of hereditary, acquired deficiency and
dysfunction of Fibrinogen, the rate of fibrinolysis will be altered there by not giving a detectable D-Dimer level.

4. As with any laboratory test, detection of elevated levels of XL FDP in a specimen should be correlated with clinical findings.
Comments:
*** END OF REPORT ***

Page 2 of 4 Consultant Pathologist / Microbiologist

 REPORT

Reference No. : 201276144 Age/Sex : 40 Years FEMALE Reg. Date : 01/12/2020 12:36

Patient : MRS. MARIYAM SOHRAB Delivery : EMAIL Collected : 01/12/2020 12:51

Sample Type : SERUM Received :

Ref. Doctor : SELF Reported : 01/12/2020 13:37

Hospital/NH : Print Date 01/12/2020 14:04

Investigation Result Biological Units

Reference Interval
CRP, Serum(Immunoturbidimetry) 3.58 <0.50 mg/dl

INTERPRETATION :-
------------------

ADULTS <0.50 mg/dl

NEWBORN UP TO 3 WEEKS <0.41 mg/dl
INFANTS AND CHILDREN <0.28 mg/dl
Comments:
FERRITIN, Serum,(CLIA) 226.7 11.00 - 306.8 ng/ml

Summary and Explanation of the Test:

---------------------------------------------
Ferritin is a compound composed of iron molecules bound to apoferritin, a protein shell. Stored iron represents about 25% of
total iron in the body, and most of this iron is stored as ferritin.Ferritin is found in many body cells, but especially those in the
liver, spleen, bone marrow, and in reticuloendothelial cells.Ferritin plays a significant role in the absorption, storage, and
release of iron. As the storage form of iron, ferritin remains in the body tissues until it is needed for erythropoiesis. When
needed, the iron molecules are released from the apoferritin shell and bind to transferrin, the circulating plasma protein that
transports iron to the erythropoietic cells.Although dietary iron is poorly absorbed, the body conserves its iron stores carefully,
reabsorbing most of the iron released from the breakdown of red blood cells. As a result, the body normally loses only 1 to 2
mg of iron per day, which is generally restored by the iron absorbed in the small intestine from dietary sources.Ferritin is
found in serum in low concentrations and is directly proportional to the body~s iron stores.Serum ferritin concentration, when
analyzed with other factors such as serum iron, iron-binding capacity, and tissue iron stores, is valuable in the diagnosis of
iron-deficiency anemias, anemias of chronic infection, and conditions such as thalassemia and hemochromatosis that are
associated with iron overload. Measurement of serum ferritin is particularly valuable in distinguishing iron-deficiency anemias
caused by low iron stores from those resulting from inadequate iron utilization.
Limitations:
---------------------
Serum ferritin values are elevated in the presence of the following conditions and do not reflect actual body iron stores:
- inflammation - significant tissue destruction - liver disease
- malignancies such as acute leukemia and Hodgkin,s disease - therapy with iron supplements
Comments:
INTERLEUKIN-6 (IL-6), SERUM 43.37 0.00 - 7.00 pg/mL

Page 3 of 4 Consultant Pathologist / Microbiologist

 REPORT

Reference No. : 201276144 Age/Sex : 40 Years FEMALE Reg. Date : 01/12/2020 12:36

Patient : MRS. MARIYAM SOHRAB Delivery : EMAIL Collected : 01/12/2020 12:51

Sample Type : Blood Received :

Ref. Doctor : SELF Reported : 01/12/2020 13:48

Hospital/NH : Print Date 01/12/2020 14:04

Investigation Result Biological Units

Reference Interval

Comments :
-------------------

Interleukin-6 (IL-6) is an interleukin that acts as both a pro-inflammatory and anti-inflammatory cytokin. It is secreted by T
cells and macrophages to stimulate immunresponse to trauma, especially burns or other tissue damage leading to
inflammation. Elevated levels are observed in a variety of inflammatory processes, including infections and collagen vascular
diseases.
Comments:
*** END OF REPORT ***

Page 4 of 4 Consultant Pathologist / Microbiologist