AGAYATIN, EUFROCINA

Complete Blood Count

WBC count 15.43 x 10 ^ 9/L
Neutrophils 0.774
Lymphocytes 0.147
Monocytes 0.069
Eosinophils 0.006
Basophils 0.004
RBC Count 3.44 x 10 ^ 12/L
Hemoglobin 88 g/L
Hematocrit 0.289
Platelet Count 206
SGPT//ALT 23.0 U/L

Creatinine 70.6 umol/L

Sodium 141.9 mmol/L

Potassium 4.30 mmol/L

CBG 189 mg/dl

Chest Radiograph
Electrocardiogram
CABUGAYAN, EDITA
Complete Blood Count
WBC count 6.58 x 10 ^ 9/L
Neutrophils 0.697
Lymphocytes 0.140
Monocytes 0.144
Eosinophils 0.014
Basophils 0.005
RBC Count 3.63 x 10 ^ 12/L
Hemoglobin 107 g/L
Hematocrit 0.324
Platelet Count 376
Arterial Blood Gas
pH 7.439

pCO2 32.1

pO2 83.4

CO2 content 24.6

HCO3 21.4

Oxygen Saturation 96.4 %

Prothrombin time
Test 14.7
Percent Activity 80
INR 1.16
Control 13.1
Activated Partial Thromboplastin Time
Test 30.0
Control 31.5
Urinalysis
yellow hazy 5.0 1.009
negative trace 0 3

CBG
119 mg/dl
BUN 3.54 mmol//L

Creatinine 55.7 umol/L

Sodium 122.9 mmol/L

Potassium 4.02 mmol/L

Total Protein 66.0 g/L

Albumin 37.0 g/L

Globulin 29.0 g/L

SGPT/ALT 96.0 U/L

Prothrombin Time

Test 14.0

Percent activity 89

INR 1.08

Control 13.1

Activated Partial Thromboplastin Time

Test 38.0

Control 31.5
Chest Radiograph
Electrocardiogram
DIFFERENTIAL DIAGNOSIS
MYOCARDIAL INFARCTION
CONGESTIVE HEART
FAILURE
COMMUNITY ACQUIRED
PNEUMONIA
ICU 5
• XX • Hypertensive
• 71/F • Breast Ca
• Married • s/p mastectomy, right
• Retired medical secretary • s/p CVA – 10/2015
• Lung pathology (?)
• s/p tracheostomy
Chest X Ray
• Initial reading:
• Interval progression of pulmonary congestion
• Underlying pneumonia not ruled out
• Minimal diminution of left side pleural effusion
• Heart is enlarged
Cranial CT Scan
Cranial CT Scan
Cranial CT Scan
Cranial CT Scan
• Initial Impression:
• No acute large territorial infarct or parenchymal hemorrhage
• Chronic small vessel ischemic changes
• Atherosclerotic bilateral internal carotid and vertebrobasilar arteries
• Cerebrocerebellar atrophy
ECG
• sinus rhythm, Left ventricular hypertrophy
• 1st degree AV block
• Left Axis Deviation
• Lateral wall ischemia probably old septal MI
Hematology
3/14/16
Hemoglobin 93 g/L
Hematocrit 0.293 L/L
WBC Count 23.90
Neu 0.932
Lymph 0.038
Mono 0.027
Eo 0.002
Baso 0.001
Platelet 517
Hematology
Parameters
Bleeding time 2 min & 30 sec
Clotting time 3 min & 50 sec
Prothrombin time
Test 13.5 sed
% Activity 94 %
INR 1.04
Control 13.1 sec
Activated Partial Thromboplastin Time
Test 23.7 sec
Control 31.5 sec
Blood Chemistry
3/14/16
Creatinine 86.1 umol/L
SGPT/ALT 183.4 U/L
Sodium 128.7 mmol/L
Potassium 5.81 mmol/L
BUN 7.14 mmol/L
CBG Monitoring ABG Monitoring
Date 3/14/16 3/14/16
3/13/16 294 mg/dl (11:45pm) (3:30am)
(11:45pm) P.O2 60% 71%
pH 7.38 7.37
pCO2 30.7 37.3
pO2 208.6 85.7
HCO3 18 21.1
CO2 content 19 22.2
B.E. -5.4 -3.2
O2 Sat 99.6% 96.1%
Urinalysis
3/14/16
Color Yellow
Character Slightly Turbid
pH 6.0
Specific Gravity 1.006
Glucose 2+
Protein 1+
RBC 5
WBC 106