LABORATORY DIAGNOSIS

Patient: RS

Age: 14 y/o

Address: Marilao, Bulacan

Gender: Male
HEMATOLOGY
1-1-16
ACTUAL
FINDINGS
129.2g/l

REMARKS

SIGNIFICANCE

HEMOGLOBIN

NORMAL
VALUES
135-160 g/l

DECREASED

HEMATOCRIT

0.40-0.48

0.38

DECREASED

WBC COUNT

4.0-11.0x10*9/L

13.5x10*9/L

INCREASED

Due to
insufficient
Oxygen supply.
Due to
insufficient
Oxygen supply.
Due to infection

SEGMENTERS

0.55-0.65

0.68

INCREASED

LYMPHOCYTES

0.25-0.40

0.25

NORMAL

MONOCYTES

0.02-0.06

0.07

INCREASED

(DIFFERENTIAL
COUNT)

Due to bacterial
infection

Due to infection

DATE: 1-10-16
HEMATOLOGY

ACTUAL
FINDINGS
108.8g/l

REMARKS

SIGNIFICANCE

HEMOGLOBIN

NORMAL
VALUES
135-160 g/l

DECREASED

HEMATOCRIT

0.40-0.48

0.32

DECREASED

WBC COUNT

4.0-11.0x10*9/L

6.9x10*9/L

NORMAL

Due to
insufficient
Oxygen supply.
Due to
insufficient
Oxygen supply.

PLATELET
COUNT

150-400X10*/L

367x10*/L

NORMAL

0.55-0.65

0.72

INCREASED

0.25-0.40

0.19

DECREASED

0.02-0.06

0.09

INCREASED

(DIFFERENTIAL
COUNT)
SEGMENTERS
LYMPHOCYTES
MONOCYTES

Due to bacterial
infection
Due to bacterial
infection
Due to infection

URINALYSIS
01-02-16
ACTUAL
REMARKS
FINDINGS
PHYSICAL EXAMINATION
COLOR:
CHEMICAL EXAMINATION
SPECIFIC GRAVITY:
PH:
MICROSCOPIC
EXAMINATION
WBC:
EPITHELIAL CELL:
TRANSPARENCY:
RBC:
BACTERIA:

Lighter yellow

NORMAL

SIGNIFICANCE

NORMAL

1.010
7.0
2-4
few
clear
3-4/hpf
moderate

Date: 01-02-16
BLOOD CHEMISTRY
SI UNIT
GLUCOSE (FBS)

TRADITIONAL
110mg/dl

SI UNIT
4.18-6-05mmo/dl

TRADITIONAL
65-110mg/dl

Date: 01-03-16
BLOOD CHEMISTRY

SI UNIT
POTASSIUM
CHLORIDE

TRADITIONAL
2.62mEq/l
92.5mEq/l

SI UNIT
3.4-5.5mmol/l
96-106mmol/l

TRADITIONAL
3.4-5.5mEq/l
96-106mEq/l

Date:01-06-16
BLOOD CHEMISTRY
SI UNIT
POTASSIUM

TRADITIONAL
3.0mEq/l

SI UNIT
3.4-5.5mmol/l

TRADITIONAL
3.4-5.5mEq/l
Date: 01-07-16

BLOOD CHEMISTRY
SI UNIT
POTASSIUM

TRADITIONAL
2.51mEq/l

SI UNIT
3.4-5.5mmol/l

TRADITIONAL
3.4-5.5mEq/l

Date: 01-04-16
RADIOLOGIC REPORT
RADIOLOGIC FINDINGS:

CHEST(PAL-tele)
=shows streaky infiltrates over both lung fields with enlarge hilar
lymph nodes
=heart not enlarged

IMPRESSION:
CHEST= PRIMARY COMPLEX

SIGNIFICANCE:
The lungs are the most common site of primary infection by tuberculosis and are a major source of
spread of the disease and of individual morbidity and mortality.