Table 1:
Case history
Table 1:
Parameter 2021 2022 April 2023 June 2023 Reference Range
Sodium 141 138 137 138 137-147
Potassium 4.3 4.3 4.5 4.2 3.5-5.0
Chloride 107 101 103 107 96-109
Bicarbonate 28 27 26 26 25-33
Anion Gap 10 14 13 9 4-17
Glucose 4.4 5.1 7.1 5.0 3.0-7.7
Urea 4.2 3.5 4.8 4.2 2.5-8.0
Creat72 75 72 74 60-130
eGFR >90 >90 >90 >90 Over 59
Urate 0.28 0.30 0.28 0.30 0.12-0.45
T. Bili 65 54 62 63 2-20
D. Bili 22 18 21 9 0-8
Alkaline Phosphatase 73 78 85 65 30-115
GGT 115 100 142 98 0-70
ALT 43 33 45 32 0-45
AST 50 40 56 44 0-41
LD 332 350 378 366 80-250
Calcium 2.35 2.40 2.31 2.35 2.15-2.60
Corr. Ca 2.42 2.41 2.30 2.36 2.15-2.60
Phos0.9 0.8 1.1 1.0 0.8-1.5
T. Prot76 79 79 74 60-82
Alb 40 42 43 42 35-50
Glob 36 37 36 32 20-40
Chol 3.9 3.8 3.7 3.3 3.6-6.7
Trig 1.5 1.9 2.4 1.5 0.3-4.0
For the past three years, the patient has had routine check-ups almost annually. His total and direct bilirubin, GGT, AST, and LD have been constantly high. He is also being referred to renal centre at the hospital.
Table 2: Cumulative full blood examination results of a patient from three different years.
Parameter 2021 2022 April 2023 June 2023 Reference range
Hb 93 100 96 90 135-180
RCC 3.4 3.6 3.3 3.1 4.2-6.0
Hct0.28 0.30 0.27 0.25 0.38-0.52
MCV 82 84 83 83 80-98
MCH 27 28 29 30 27-35
Platelets 289 260 198 279 150-450
WCC 7.4 10.2 9.1 8.3 4.0-11.0
Neutrophils 3.8 6.1 5.6 2.9 2.0-7.5
Lymphocytes 2.6 3.4 2.8 5.0 1.1-4.0
Monocytes 0.8 0.7 0.5 0.2 0.2-1.0
Eosinophils 0.15 0.00 0.18 0.17 0.04-0.40
Basophils 0.00 0.00 0.00 0.00 <0.21
NRBCs 3 7 7 Reticulocytes 286 335 376 353 15-105
Morphology Comment:
Red cell are normochromic with marked anisocytosis, moderate numbers of sickle cells, moderate numbers of target cells, a few darkly stained and contracted red cells, small numbers of Howell-Jolly bodies and mild polychromasia. Platelets appear normal.
Mild lymphocytosis
Note increasing reticulocyte and nucleated red cell count.
Features of hyposplenism/asplenism/splenic infarction persist.
