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Sterling Accuris Pathology Sample Report Unlocked

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0% found this document useful (0 votes)
180 views19 pages

Sterling Accuris Pathology Sample Report Unlocked

Copyright
© © All Rights Reserved
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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:09 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : EDTA Blood
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Complete Blood Count


Test Result Unit Biological Ref. Interval
Hemoglobin Colorimetric 14.5 g/dL 13.0 - 16.5
RBC Count Electrical impedance 4.79 million/cmm 4.5 - 5.5
Hematocrit Calculated 43.3 % 40 - 49
MCV Derived 90.3 fL 83 - 101
MCH Calculated 30.2 pg 27.1 - 32.5
MCHC Calculated 33.4 g/dL 32.5 - 36.7
RDW CV Calculated 13.60 % 11.6 - 14
022321600126-Mr. Hardik Sompura-41 Years-Male

Total WBC and Differential Count


WBC Count SF Cube cell analysis H 10570 /cmm 4000 - 10000

Differential Count Absolute Count


Neutrophils Microscopic 73 % 40 - 80 7716 /cmm 2000 - 6700
Lymphocytes Microscopic 19 % 20 - 40 2008 /cmm 1100 - 3300
Eosinophils Microscopic 02 % 1-6 211 /cmm 00 - 400
Monocytes Microscopic 06 % 2 - 10 634 /cmm 200 - 700

Basophils Microscopic 00 % 0-2 0 /cmm 0 - 100

Platelet Count Electrical impedance 150000 /cmm 150000 - 410000


MPV Calculated H 14.00 fL 7.5 - 10.3
Peripheral Smear Examination
RBC Morphology Normochromic Normocytic
WBC Morphology WBCs Series Shows Normal Morphology
Platelets Morphology Platelets are adequate with normal morphology.
Parasites Malarial parasite is not detected.
Erythrocyte Sedimentation Rate
ESR Capillary photometry 7 mm/1hr 0 - 14

DR.TEJASWINI DHOTE Dr. Sanjeev Shah Dr.Yash Shah

M.D. Pathology MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 13:33 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : EDTA Blood,
Serum Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Blood Group
Test Result Unit Biological Ref. Interval

ABO Type "A"


Rh (D) Type Positive
022321600126-Mr. Hardik Sompura-41 Years-Male

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M.D. Pathology MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:29 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Lipid Profile
Test Result Unit Biological Ref. Interval

Cholesterol 189.0 mg/dL Desirable : <200


Cholesterol oxidase – Peroxidase method
Borderline High : 200-239
High : >240
Triglyceride H 168.0 mg/dL Normal : <150
Ezymatic (Lipase/GK/GPO/POD)
Borderline : 150-199
High : 200-499
Very High : >500
HDL Cholesterol 60.0 mg/dL Low: <40.0
PTA/MgCl2
High: >60.0
022321600126-Mr. Hardik Sompura-41 Years-Male

Direct LDL H 100.39 mg/dL Optimal: <100


Direct measured
Near to above Optimal:
100–129
Borderline High: 130-159
High: 160–189
Very High: =190
VLDL 33.60 mg/dL 15 - 35
Calculated

CHOL/HDL Ratio 3.1 Up to 5.0


Calculated

LDL/HDL Ratio 1.7 Up to 3.5


Calculated

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:45 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Fluoride plasma
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Biochemistry
Test Result Unit Biological Ref. Interval

Fasting Blood Sugar H 141.0 mg/dL 74 - 106


GOD-POD
022321600126-Mr. Hardik Sompura-41 Years-Male

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:33 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : EDTA Blood
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

HbA1c (Glycosylated Hemoglobin)


Test Result Unit Biological Ref. Interval

HbA1c H 7.10 % For Screening:


High Performance Liquid Chromatography
Diabetes: >6.5%
Pre-Diabetes: 5.7% -
6.4%
Non-Diabetes: < 5.7%

For Diabetic Patient:


Poor Control : > 7.0 %
Good Control : 6.0-7.0 %
022321600126-Mr. Hardik Sompura-41 Years-Male

Mean Blood Glucose 157.07 mg/dL


Calculated

Explanation:-
• Total haemoglobin A1 c is continuously synthesized in the red blood cell throught its 120 days life span. The concentration of HBA1c in the cell
reflects the average blood glucose concentration it encounters.
• The level of HBA1c increases proportionately in patients with uncontrolled diabetes. It reflects the average blood glucose concentration over an
extended time period and remains unaffected by short-term fluctuations in blood glucose levels.
• The measurement of HbA1c can serve as a convenient test for evaluating the adequacy of diabetic control and in preventing various diabetic
complications. Because the average half life of a red blood cell is sixty days, HbA1c has been accepted as a measurement which reflects the mean
daily blood glucose concentration, better than fasting blood glucose determination, and the degree of carbohydrate imbalance over the preceding
two months.
• It may also provide a better index of control of the diabetic patient without resorting to glucose loading procedures.

HbA1c assay Interferences:


Erroneous values might be obtained from samples with abnormally elevated quantities of other Haemoglobins as a result of
either their simultaneous elution with HbA1c (HbF) or differences in their glycation from that of HbA (HbS).

Reference: ADA Guideline 2023

DR.TEJASWINI DHOTE Dr. Sanjeev Shah Dr.Yash Shah

M.D. Pathology MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:38 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Thyroid Function Test


Test Result Unit Biological Ref. Interval

T3 - Triiodothyronine 1.01 ng/mL 0.58 - 1.59


Chemiluminescence

T4 - Thyroxine 7.84 mg/mL 4.87 - 11.72


TSH - Thyroid Stimulating Hormone 0.8199 microIU/mL 0.35 - 4.94
Chemiluminescence
022321600126-Mr. Hardik Sompura-41 Years-Male

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MD(Path) MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 12:40 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Urine
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Biochemistry
Test Result Unit Biological Ref. Interval

Microalbumin (per urine volume) 10.50 mg/L < 16.7


Immunoturbidimetric

In random urine specimens, normal urinary albumin excretion is below 17 mg/g creatinine for males and below 25 mg/g creatinine for females.(3)
Microalbuminuria is defined as an albumin:creatinine ratio of 17 to 299 for males and 25 to 299 for females.
A ratio of albumin:creatinine of 300 or higher is indicative of overt proteinuria.
Due to biologic variability, positive results should be confirmed by a second, first-morning random or 24-hour timed urine specimen. If there is
discrepancy, a third specimen is recommended. When 2 out of 3 results are in the microalbuminuria range, this is evidence for incipient nephropathy
and warrants increased efforts at glucose control, blood pressure control, and institution of therapy with an angiotensin-converting-enzyme (ACE)
inhibitor (if the patient can tolerate it).
022321600126-Mr. Hardik Sompura-41 Years-Male

Reference :
1. Bennett PH, Haffner S, Kasiske BL, et al: Screening and management of microalbuminuria in patients with diabetes mellitus: recommendations
to the Scientific Advisory Board of the National Kidney Foundation from an ad hoc committee of the Council on Diabetes Mellitus of the National
Kidney Foundation. Am J Kidney Dis 1995;25:107-112
2. Krolewski AS, Laffel LM, Krolewski M, et al: Glycosylated hemoglobin and the risk of microalbuminuria in patients with insulin-dependent
diabetes mellitus. N Engl J Med 1995;332:1251-1255
3. Zelmanovitz T, Gross JL, Oliveira JR, et al: The receiver operating characteristics curve in the evaluation of a random urine specimen as a
screening test for diabetic nephropathy. Diabetes Care 1997;20:516-519

Dr. Purvish Darji Dr. Sanjeev Shah Dr.Yash Shah


MD(Path) MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:41 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Protein
Test Result Unit Biological Ref. Interval

Total Protein 7.00 g/dL 6.3 - 8.2


Copper tartrate to colour complex

Albumin 4.20 g/dL 3.5 - 5.0


Bromocresol Green Method

Globulin 2.80 g/dL 2.3 - 3.5


Calculated

A/G Ratio 1.50 1.3 - 1.7


Calculated

Bilirubin
022321600126-Mr. Hardik Sompura-41 Years-Male

Total Bilirubin 0.70 mg/dL 0.2 - 1.3


Azobilirubin chromophores

Conjugated Bilirubin 0.30 mg/dL 0.0 - 0.3


Cationic Mordant Binding

Unconjugated Bilirubin 0.20 mg/dL 0.0 - 1.1


Cationic Mordant Binding

Delta Bilirubin 0.20 mg/dL 0.0 - 0.2


Calculated

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:29 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Iron Studies
Test Result Unit Biological Ref. Interval

Iron 103.00 micro g/dL 49 - 181


Pyridyl azo Dye

Total Iron Binding Capacity (TIBC) 352.00 261 - 462


Transferrin Saturation 29.26 % Children : >16
Calculated
Adult : 20 - 50
022321600126-Mr. Hardik Sompura-41 Years-Male

Dr. Purvish Darji Dr. Sanjeev Shah Dr.Yash Shah


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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:38 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Immunoassay
Test Result Unit Biological Ref. Interval

Homocysteine, Serum H 23.86 micromol/L 6.0 - 14.8


Chemiluminescence

Summary and Uses:


• Total Hcy is a thiol-containing amino acid, produced by the intracellular demethylation of methionine to
cysteine.
• Elevated levels of t Hcy may be used to exclude or confirm deficiencies of vitamin B12 or folate.
• It is recommended to test in patients using medications that interfere with folate status (methotrexate,
antiepileptics), vegetarians without B12 supplementations, unexplained anemia, peripheral neuropathy or
myleopathy, recurrent spontaneous abortions or infertility.
022321600126-Mr. Hardik Sompura-41 Years-Male

• Testing also recommended for patients 40 years of age with coronary artery disease to exclude
homocystinuria.
• Elevations in tHcy levels have also been used as an independent risk factor of coronary or cerebral
vascular disease. Treatment of moderate hyperhomocystinemia with folic acid supplementation for primary
and secondary cardiovascular protection has met with inconsistent results and at present cannot be
routinely recommended.
Limitations:
• The plasma must be seprated immediately on collection to avoid continuous synthesis of Hcy by red cells.
• Samples must be immediately stored on ice and serum centrifuged immediately before a complete clot is
formed.
• Certain drugs, such as anticonvulsants, methotrexate, or nitrous oxide, may interfere with the assay.
• Cigarette smoking and coffee consumption increase tHcy levels.
• Intraindividual variability is approximately 8%; it can be as much as 25% in patients with
hyperhomocystinemia.
• Generally, a single measurement of tHcy is considered adequate.

Dr. Purvish Darji Dr. Sanjeev Shah Dr.Yash Shah


MD(Path) MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:10 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Biochemistry
Test Result Unit Biological Ref. Interval

Creatinine, Serum 0.83 mg/dL 0.66 - 1.25


Creatinine Amidohydrolase

Urea L 18.0 mg/dL 19.3 - 43.0


Urease, Colorimetric

Blood Urea Nitrogen L 8.41 mg/dL 9.0 - 20.0


Calculated

Uric Acid 4.90 mg/dL 3.5 - 8.5


Uricase

Calcium 9.10 mg/dL 8.4 - 10.2


Arsenazo III
022321600126-Mr. Hardik Sompura-41 Years-Male

SGPT 48.0 U/L 0 - 50


UV with P5P, IFCC

SGOT 27.0 U/L 17 - 59


UV with P5P

Electrolytes
Sodium (Na+) 143.00 mmol/L 136 - 145
Direct- ISE

Potassium (K+) 4.90 mmol/L 3.5 - 5.1


Direct- ISE

Chloride (Cl-) 105.0 mmol/L 98 - 107


Direct- ISE

Dr. Purvish Darji Dr. Sanjeev Shah Dr.Yash Shah


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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 12:33 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Immunoassay
Test Result Unit Biological Ref. Interval

25(OH) Vitamin D 8.98 ng/mL Deficiency : <10


CLIA
Insufficiency : 10 - 30
Sufficiency : 30 - 100
Toxicity : >100
Vitamin D is a fat soluble vitamin and exists in two main forms as cholecalciferol(vitamin D3) which is synthesized in skin from 7-dehydrocholesterol in
response to sunlight exposure & Ergocalciferol(vitamin D2) present mainly in dietary sources.Both cholecalciferol & Ergocalciferol are converted to
25(OH)vitamin D in liver.
Interpretation:
Increased In
022321600126-Mr. Hardik Sompura-41 Years-Male

• Vitamin D intoxication
• Excessive exposure to sunlight
Decreased In
• Malabsorption
• Steatorrhea
• Dietary osteomalacia, anticonvulsant osteomalacia
• Biliary and portal cirrhosis
• Thyrotoxicosis
• Pancreatic insufficiency
• Celiac disease
• Rickets
• Alzheimer disease
Limitations:
More recently, it has become clear that receptors for vitamin D are present in a wide variety of cells and that this hormone has biologic effects extending
beyond the control of mineral metabolism. Vitamin D deficiency is not clear. Levels needed to prevent rickets and osteomalacia (15 ng/mL) are lower
than those that dramatically suppress parathyroid hormone levels (20–30 ng/mL). In turn, those levels are lower than levels needed to optimize intestinal
calcium absorption (34 ng/mL). Neuromuscular peak performance is associated with levels approximately 38 ng/mL. A recent study states that
increasing mean baseline levels from 29 to 38 ng/mL was associated with a 50% lower risk for colon cancer and levels of 52 ng/mL with a 50% reduction
in the incidence of breast cancer. It is recommended to have clinical correlation with serum 25(OH)vitamin D, serum calcium, serum PTH & serum
alkaline phosphatase.

DR.TEJASWINI DHOTE Dr. Sanjeev Shah Dr.Yash Shah

M.D. Pathology MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 12:04 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Immunoassay
Test Result Unit Biological Ref. Interval

Vitamin B12 L < 148 pg/mL 187 - 833


CLIA

Vitamin B12 is essential in DNA synthesis, hematopoiesis, and CNS integrity.

Interpretation:
• Increased In : Chronic granulocytic leukemia , COPD and Chronic renal failure , Leukocytosis , Liver cell damage (hepatitis, cirrhosis) , Obesity and
Severe CHF , Polycythemia vera , Protein malnutrition.
• Decreased In : Abnormalities of cobalamin transport or metabolism , Bacterial overgrowth , Crohn disease , Dietary deficiency (e.g. in vegetarians)
, Diphyllobothrium (fish tapeworm) infestation , Gastric or small intestine surgery , Hypochlorhydria , Inflammatory bowel diseas , Intestinal
022321600126-Mr. Hardik Sompura-41 Years-Male

malabsorption and Intrinsic factor deficiency


Limitations:
• Drugs such as chloral hydrate increase vitamin B12 levels. On the other hand , alcohol, aminosalicylic acid, anticonvulsants, ascorbic acid,
cholestyramine, cimetidine, colchicines, metformin, neomycin, oral contraceptives, ranitidine, and triamterene decrease vitamin B12 levels.
• The evaluation of macrocytic anemia requires measurements of both vitamin B12 and folate levels; ideally they should be measured
simultaneously.
• Specimen collection soon after blood transfusion can falsely increase vitamin B12 levels.
• Patients taking vitamin B12 supplementation may have misleading results.
• A normal serum concentration of B12 does not rule out tissue deficiency of vitamin B12. The most sensitive test for B12 deficiency at the
cellular level is the assay for MMA. If clinical symptoms suggest deficiency, measurement of MMA and homocysteine should be considered,
even if serum B12 concentrations are normal.

DR.TEJASWINI DHOTE Dr. Sanjeev Shah Dr.Yash Shah

M.D. Pathology MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:38 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Immunoassay
Test Result Unit Biological Ref. Interval

PSA-Prostate Specific Antigen, Total 0.573 ng/mL 0-4


PSA is a glycoprotein that is expresses by both normal and neoplastic prostate tissue and is prostate tissue specific and not prostate cancer specific.
PSA is constantly expressed in nearly all prastate cancers, although its level of expression on a percell basis is lower than in normal prostate epithelium.
The absolute value of serum PSA is useful for determining the extent of prostate cancer and assessing the response to prostate cancer treatment; its
use as a screening method to detect prostate cancer is also common.
Interpretation
Increased in
• Prostate disease (Cancer, Prostatitis, Benign prostatic hyperplasia, Acute urinary retention)
• Manipulations ( Cystoscopy, Needle biopsy, Radiation therapy, Indwelling catheter, Prostatic massage)
022321600126-Mr. Hardik Sompura-41 Years-Male

• Transurethral resection
• Prostatic ischemia
Decreased in
• Castration
• Prostatectomy
• Radiation therapy
• Ejaculation withi 24 - 48 hours
• 5-alpha-reductase inhibitor reduces PSA by 50% after 6 months in men without cancer
Limitations
• PSA has been recommended by the American Cancer Society for use in conjunction with a DRE for early detection of prostate cancer starting
at the age of 50 years for men with at least 10 year life expectancy
• PSA levels that are measured repeatedly over time may vary because of biologic variability where the true PSA level in a given man is different
on different measurements.
• A change in PSA of >30% in man with a PSA initially below 2.0 ng/mL was likely to indicate a true change beyond normal random variation.

Dr. Purvish Darji Dr. Sanjeev Shah Dr.Yash Shah


MD(Path) MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 12:06 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Immunoassay
Test Result Unit Biological Ref. Interval

IgE H 492.30 IU/mL 0 - 87


CLIA

IgE mediates allergic and hypersensitivity reactions. There is a significant overlap in total IgE between allergic and nonallergic individuals.
Interpretation:
- Increased In
• Atopic diseases
◦ Exogenous asthama in approximately 60% of patients
◦ Hay fever in approximately 30% of patients and Atopic eczema
• Influenced by type of allergen, duration of stimulation. Presence of symptoms, and hyposensitization treatment
022321600126-Mr. Hardik Sompura-41 Years-Male

• Parasitic diseases (e.g. ascariasis, visceral larva migrans, hookworm disease, schistosomiasis, Echinococcus infestation)
• Monoclonal IgE myeloma
- Decreased In
• Hereditary deficiencies
• Acquired immunodeficiency
• Ataxia-telangiectasis
• Non-IgE myeloma
Limitations:
• A normal level of IgE in serum does not eliminate the possibility of allergic disease.
• Serum total IgE levels for the majority of individuals with IgE-mediated disease can be expected to be elevated compared to the reference
range for healthy adults. However, not all allergic patients exhibit elevated serum total IgE levels.
• Since not all atopic reactions are IgE-mediated, a total IgE result in the reference range should always be interpreted in light of other clinical
observations.
• Heterophilic antibodies in human serum can react with the immunoglobulins included in the assay components causing interference with in vitro
immunoassays.

Dr. Purvish Darji Dr. Sanjeev Shah Dr.Yash Shah


MD(Path) MD Path MD Path

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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 14:35 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Serum
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Test Result Unit Biological Ref. Interval

HIV I & II Ab/Ag with P24 Ag 0.070 S/Co Non Reactive : <1.0
Chemiluminescence
Reactive : >1.0
Interpretation Non Reactive
HBsAg 0.290 S/Co Non Reactive : <1.0
Chemiluminescence
Reactive: >1.0
Interpretation Non Reactive

Additional Information:
022321600126-Mr. Hardik Sompura-41 Years-Male

1. A NON REACTIVE result implies that no Anti HIV-1 or HIV -2 antibodies have been detected in the sample by this method. This means that either
the patient has not been exposed to HIV-1 or HIV-2 infection or the sample has been tested during the "WINDOW PHASE" (before the
development of detectable levels of antibodies).
2. A PROVISIONALITY REACTIVE / BORDERLINE REACTIVE result suggests possibility of HIV-1 or/and HIV-2 infection. However these results
must be verified by confirmatory WESTERN BLOT / HIV PCR method before declaring the patient positive for HIV-1 or HIV-2 infection.
3. Very high levels of IgM Antibodies or Anti-HLA ABC and DR Antibodies can give false positive reaction.
**Pre & Post test counselling for HIV testing is responsibility of reffering Physician.

Dr. Siddharth Thummar Dr. Sanjeev Shah Dr.Yash Shah

M.D. Pathology MD Path MD Path

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Passport No : LABORATORY TEST REPORT


Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 14:16 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : EDTA Blood
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

HB Electrophoresis By HPLC
Instrument Name: BIORAD VARIANT - II Haemoglobin Testing System

Test Result Unit Biological Ref. Interval


Hb A L 84.4 % 96.8 - 97.8
Hb A2 2.8 % 2.2 - 3.2
P2 Peak 5.5 %
P3 Peak 5.2 %
Foetal Hb 0.3 % 0.0 - 1.0
Interpretation Negative for typical beta thalassemia trait.
022321600126-Mr. Hardik Sompura-41 Years-Male

Interpretation:
• All results have to be correlated with age and history of blood transfusion if there is history of blood transfusion in last 3 months, repeat testing
after 3 month from last date of transfusion is recommended.
• In case of haemoglobinopathy, parents or family studies and councelling is advised.
• This test detects beta thalassaemia and haemoglobinopathies, DNA analysis is recommended to rule out alpha thalassaemia and silent
carriers.
• Linearity range of HbF is 1-40%, However, values in excess of the reportable range have been provided for ease of interpretation.
• Mild to moderate increase in fetal haemoglobiin can be seen in some acquired condition like pregnancy, megaloblastic anaemia, Throtoxicosis,
Hypoxia, Chronic kidney disease, Recovering marrow, MDS, Aplastic anaemia, PNH, Medications (Hydrocyurea, Erythropoietin) ect.
• P3 window-Above 10% is often indicative of either denatured froms of hemoglobins or may suggest a possibility of abnormal haemoglobin
variant. Hence, repeat analysis with fresh sample or DNA studies is advised.
• P2 Window-Above 10% is indicative of either glycated haemoglonin requring correlation with diabetic staus or may suggest a possibility of
abnormal haemoglobin variant further DNA studies for confirmation.

Dr. Hardik Modi Dr. Sanjeev Shah Dr.Yash Shah


Hematopathologist (G-18097) MD Path MD Path

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Bio-Rad CDM System PATIENT REPORT
VII Inst. #1. SN-13939 V2_BThal

Patient Data Analysis Data


Sample ID: 022321600126 Analysis Performed: 02/20/2023 13:56:59
Patient ID: Injection Number: 2575
Name: Run Number: 95
Physician: Rack ID: 0001
Sex: Tube Number: 2
DOB: Report Generated: 02/20/2023 14:04:40
Comments: Operator ID:

Calibrated Retention Peak


Peak Name Area % Area % Time (min) Area
Unknown --- 0.1 1.00 2400
F 0.3 --- 1.08 8321
Unknown --- 1.6 1.18 44109
P2 --- 5.5 1.30 148807
P3 --- 5.2 1.72 139183
Ao --- 84.4 2.34 2277592
A2 2.8 --- 3.64 76999

Total Area: 2,697,411


022321600126-Mr. Hardik Sompura-41 Years-Male

F Concentration = 0.3 %
A2 Concentration = 2.8 %

Analysis comments:

45.0

37.5

30.0

22.5
1.30
%

3.64
1.72

15.0
1.18
1.08
-
1.00

2.34

A2 -

7.5
-
-
F-
-

0.0
-

0 1 2 3 4 5 6
Time (min.)

Page 18 of 19
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Patient Information Sample Information Client/Location Information
Name : Lyubochka Svetka Lab Id : 02232160XXXX Client Name : Sterling Accuris Buddy
Registration on : 20-Feb-2023 09:10
Location :
Sex/Age : Male / 41 Y 01-Feb-1982 Collected at : non SAWPL
Approved on : 20-Feb-2023 11:12 Status : Final
Ref. Id : Collected on : 20-Feb-2023 08:53
Printed On : 28-Feb-2023 10:26
Ref. By : Sample Type : Urine
Process At : 1. NRL SAWPL Gujarat Ahmedabad Paldi

Test Result Unit Biological Ref. Interval

Physical & Chemical (Dip strip) examination


Colour Pale Yellow Pale Yellow

Clearity Clear Clear

pH 6.0 4.6 - 8.0


Double indicator

Specific Gravity 1.030 1.005 - 1.030


Polyelectrolyte based reaction
Urine Glucose Present (+) Absent
GOD-POD
022321600126-Mr. Hardik Sompura-41 Years-Male

Urine Protein Absent Absent


Protein error of indicators
Bilirubin Absent Absent
Diazo reaction

Urobilinogen Absent Absent


Modified Ehrlich reaction
Urine Ketone Absent Absent
Nitroprusside

Nitrite Absent Absent


Nitrite reaction
Microscopic Examination
Pus Cells 1-2 Absent

Red Cells Nil /hpf 0-2

Epithelial Cells 1-2 /hpf .

Casts Absent /hpf Absent

Crystals Absent /hpf Absent

Amorphous Material Absent

------------------ End Of Report ------------------

DR.TEJASWINI DHOTE Dr. Sanjeev Shah Dr.Yash Shah

M.D. Pathology MD Path MD Path

This is an Electronically Authenticated Report. # Referred Test Page 19 of 19

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