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Lab and Diagnostic Pt. VSD

The document contains lab test results for a 45-year-old female patient. An abdominal ultrasound showed gallstones, a cyst on the right kidney, cysts on both ovaries possibly endometriomas, and a uterine fibroid. A pap smear showed mild inflammation. An endovaginal ultrasound detailed a enlarged uterus with a fibroid, a large cyst on the left ovary, and another large cyst on the right ovary.

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Kceey Cruz
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0% found this document useful (0 votes)
44 views

Lab and Diagnostic Pt. VSD

The document contains lab test results for a 45-year-old female patient. An abdominal ultrasound showed gallstones, a cyst on the right kidney, cysts on both ovaries possibly endometriomas, and a uterine fibroid. A pap smear showed mild inflammation. An endovaginal ultrasound detailed a enlarged uterus with a fibroid, a large cyst on the left ovary, and another large cyst on the right ovary.

Uploaded by

Kceey Cruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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V.

LABORATORIES AND DISGNOSTICS

Patient Name: VDS


Age: 45 Sex: Female
Study Date: September 21, 2022

ABDOMINAL ULTRASOUND

September 21, 2022 Impression:

Cholecystolithiasis
Mild ureteropelvocaliectasia, right
Bilateral adnexal cyctic foci, consider endometrioma.
Intramural myoma.
Normal ultrasound of the liver, pancreas, spleen, aorta/paraaortic
areas, left kidney and urinary bladder.
Patient Name: VDS
Age: 45 Sex: Female
Study Date: September 22, 2022

PAP SMEAR

September 22, 2022


General Categorization No intraepithelial lesion or malignancy

Interpretation:
Mild Inflammation
Patient Name: VDS
Age: 45 Sex: Female
Study Date: September 23, 2022

ENDOVAGINAL ULTRASOUND

September 23, 2022 The uterus is anteverted measuring 7.5 x 6.1 x 6.1 cm. With
homogeneous echotexture.
There is an intramural myoma measuring 4.9 x 2.9 x 3.5 cm.
The endometrial canal echo measures 9.7 mm

The left ovary measures 2.3 x 1.9 cm. with a chocolate cyst measuring
11.3 x 5.3 x 5.4 cm.

Another chocolate cyst measuring 8.5 x 6.3 x 8.3 cm is seen in the right
ovary.

No free fluid in the cul-de-sac.


Patient Name: VDS (CBC)
Age: 45 Sex: Female
Study Date: October 13, 2022 8:45 AM

Parameters Result Unit. Ref. Ranges


White Blood Cell 18.89 10^9/ L 4.00 - 10.00
Neutrophil % 89.2% 50.0 - 70.0
Lymphocyte % 6.3% 20.0 - 40.0
Eosinophils % 0.1% 0.5 - 5.0
Procalcitonin (PCT) 0.384% 0.108 - 0.282
HCT

Mon%
Bas%
RBC
HGB
HCT
MCV
MCH NORMAL
MCHC
PLT
RDW-CV
RDW-SD
MPV
PDW
NRBC%
Patient Name: VDS (Urinalysis)
Age: 45 Sex: Female
Study Date: October 13, 2022

Dry Chemical Items Microscopic Items


Item Name Result Unit Item Name Result Unit
Urobilinogen Negative EU/dL RBC Count 0-2 HPF
Glucose Negative WBC Count 0-2 HPF
Bilirubin + Mucilage Negative HPF
Ascorbic Acid Negative Epithclium Few LPF
Ketone Negative Bacteria Rare HPF
SG 1.005 Amorphous Crystal Rare
pH 5.5
Occult Blood 3+
Protein +
Nitrite Negative
Leukocytes +
UMA +
Patient Name: VDS (Blood Typing)
Age: 45 Sex: Female
Study Date: October 25, 2022

TEST
Blood Group “O”
Rh Type POSITIVE
Patient Name: VDS (Urinalysis)
Age: 45 Sex: Female
Study Date: November 04, 2022

ROUTINE URINALYSIS
Physical Examination Microscopic Examination
Color LIGHT YELLOW White Bllod Cells 10-25 /HPF
Transparency SLIGHTLY TURBID Red Blood Cells 2-5 /HPF
Specific Gravity 1.020 Amorphous PO4/Urates FEW /LPF
pH 6.5 Epithelial Cells MODERATE /LPF
Chemical Examination Bacteria FEW /HPF
Protein TRACE Mucus Threads RARE /LPF
Sugar NEGATIVE
Microalbumin POSTIVE
Ketones NEGATIVE
Nitrite NEGATIVE
Bilirubin NEGATIVE
Urobilinogen NEGATIVE
OTHERS ASCORBIC ACID: NEGATIVE OCCULT BLOOD: NEGATIVE LEUKOCYTES:+1
Patient Name: VDS (Blood Typing)
Age: 45 Sex: Female
Study Date: November 04, 2022

TEST
Blood Group “O”
Rh Type POSITIVE
Patient Name: VDS
Age: 45 Sex: Female
Study Date: November 04, 2022

PROTROMBIN TIME PERCENT ACTIVITY (PTPA)


PATIENT
CONTROL
PERCENT ACTIVITY NORMAL
INR

ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT)


PATIENT NORMAL
CONTROL

BLEEDING TIME (Duke Method) NORMAL


CLOTTING TIME (Slide Method) NORMAL
Patient Name: VDS (Hepa B & Syphilis Screening Test)
Age: 45 Sex: Female
Study Date: November 04, 2022

TEST METHOD RESULT


HBs Ag IMMUNOCHROMATOGRAPHY Reactive
Syphilis IMMUNOCHROMATOGRAPHY Nonreactive
Patient Name: VDS (LDH Test)
Age: 45 Sex: Female
Study Date: November 04, 2022

ASSAY RESULT RANGES


Lactate dehydrogenase (LDH) 149 U/L 313- 618

Potassium
Sodium
Creatinine
Urea Nitrogen NORMAL
AST
ALT
Patient Name: VDS (CBC)
Age: 45 Sex: Female
Study Date: November 04, 2022 3:44 PM

Parameters Result Unit. Ref. Ranges


Procalcitonin (PCT) 0.309% 0.108 - 0.282

WBC
Neu%
Lym%
Mon%
Eos%
Bas%
RBC
HGB
HCT
MCV NORMAL
MCH
MCHC
PLT
RDW-CV
RDW-SD
MPV
PDW
NRBC%
Patient Name: VDS
Age: 45 Sex: Female
Study Date: November 04, 2022 1:40 PM

CHEST PA- ADULT

November 04, 2022 1:40 PM Lungs are essentially clear.


Heart is not enlarged.
Diaphragm, sinuses and visualized osseous structures are intact.

IMPRESSION:
NORMAL CHEST X-RAY
Patient Name: VDS
Age: 45 Sex: Female
Study Date: November 05, 2022 1:40 PM

GLUCOSE
Fasting NORMAL
LIPID PROFILE
Cholesterol
Triglycerides
HDL NORMAL
LDL
VLDL
Patient Name: VDS
Age: 45 Sex: Female
Study Date: November 05, 2022 1:40 PM

Glucose
Albumin NORMAL
Calcium
Magnesium
Patient Name: VDS (Blood Transfusion Test)
Age: 45 Sex: Female
Study Date: November 08, 2022 6:00 AM

BLOOD COMPONENT PRBC NO. OF UNITS ISSUED 1


Date of Extraction 10.31.2022 - -
Date of Expiration 12.05.2022 - -
Antibody Screening Result NEGATIVE - -
BLOOD UNIT SCREENING RESULT CROSSMATCHING RESULT
ABO and Rh Blood Group “O” RH POSITIVE ABO and Rh Blood Group “O” RH POSITIVE
Hemoglobin/ Hematocrit PASSED Saline Phase NO AGGLUTINATION
Malaria NEGATIVE Bovine Phase NO AGGLUTINATION
HBsAG NONREACTIVE AHG Phase NO AGGLUTINATION
Anti-HCV NONREACTIVE REMARKS COMPATIBLE
HIV COMBO NONREACTIVE COOMB’S TEST
Syphilis NONREACTIVE Direct Coomb’s Test (DAT) -
Indirect Coomb’s Test (IAT) -
Patients Antibody Screening NEGATIVE
Date Released 11.08.2022 Time Completed 06:30 am
Patient Name: VDS (Blood Transfusion Test)
Age: 45 Sex: Female
Study Date: November 08, 2022 12:20 PM

BLOOD COMPONENT PRBC NO. OF UNITS ISSUED 2


Date of Extraction 10.30.2022 - -
Date of Expiration 12.04.2022 10.28.2022 -
Antibody Screening Result NEGATIVE 12.02.2022 -
BLOOD UNIT SCREENING RESULT CROSSMATCHING RESULT
ABO and Rh Blood Group “O” RH POSITIVE ABO and Rh Blood Group “O” RH POSITIVE
Hemoglobin/ Hematocrit PASSED Saline Phase NO AGGLUTINATION
Malaria NEGATIVE Bovine Phase NO AGGLUTINATION
HBsAG NONREACTIVE AHG Phase NO AGGLUTINATION
Anti-HCV NONREACTIVE REMARKS COMPATIBLE
HIV COMBO NONREACTIVE COOMB’S TEST
Syphilis NONREACTIVE Direct Coomb’s Test (DAT) -
Indirect Coomb’s Test (IAT) -
Patients Antibody Screening -
Date Released 11.08.2022 Time Completed 12:50 PM
Patient Name: VDS (CBC)
Age: 45 Sex: Female
Study Date: November 09, 2022

Parameters Result Unit. Ref. Ranges


Neutrophil % 74.0% 50.0 - 70.0
Lymphocyte % 17.1% 20.0 - 40.0
Hemoglobin (HGB) 10.3 g/dL 11.0 - 15.0
Hematocrit (HCT) 30.9% 37.0 - 47.0

WBC
Mon%
Eos%
Bas%
RBC
MCV
MCH NORMAL
MCHC
PLT
RDW-CV
RDW-SD
MPV
PDW
PCT
NRBC%

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