I.

Investigation
Full Blood Count (10 June 2015)
Red Blood Cell
Haemoglobin
Pack Cell Volume (PCV)
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Width (RCW)
Platelet
Mean Platelet Volume (MPV)
White Blood Cells
Percentage of Neutrophil
Absolute Neutrophil
Percentage of Lymphocyte
Absolute Lymphocyte
Percentage of Monocyte
Absolute Monocyte
Percentage of Eosinophil
Absolute Eosinophil
Percentage of Basophil
Absolute Basophil
Full Blood Count (10 June 2015)
Red Blood Cell
Haemoglobin
Pack Cell Volume (PCV)
Mean Cell Volume (MCV)
Mean Cell Haemoglobin (MCH)
Mean Cell Haemoglobin Concentration (MCHC)
Red Cell Width (RCW)
Platelet
Mean Platelet Volume (MPV)
White Blood Cells
Percentage of Neutrophil
Absolute Neutrophil
Percentage of Lymphocyte
Absolute Lymphocyte
Percentage of Monocyte
Absolute Monocyte
Percentage of Eosinophil
Absolute Eosinophil
Percentage of Basophil
Absolute Basophil
Interpretation:
The results were normal.

4.8x10^12/L
13.0 g/dL
0.40 L/L
85 fl
27.4 pg
32.3 g/dL
14 %
300x10^9/L
11.0 fl
9.4x10^9/L
57%
5.4x10^9/L
31%
2.9x10^9/L
6%
0.5x10^9/L
6%
0.5x10^9/L
1%
0.1x10^9/L

(3.8 4.8)
(12 15)
(0.36 0.46)
(83.0 101.0)
(27.0 32.0)
(31.5 34.5)
(11.6 14.0)
(150 410)
(9.0 13.0)
(4.0 10.0)
(40 80)
(2.0 7.0)
(20 40)
(1.0 3.0)
(2.0 10.0)
(0.2 1.0)
(1.0 6.0)
(0.02 0.50)
(< 2.1)
(0.02 0.10)

5.0x10^12/L
13.5 g/dL
0.43 L/L
86 fl
27.1 pg
31.7 g/dL
14.4 %
300x10^9/L
10.6 fl
11.1x10^9/L
53%
5.8x10^9/L
32%
3.5x10^9/L
9%
1.0x10^9/L
6%
0.7x10^9/L
0%
0.0x10^9/L

(3.8 4.8)
(12 15)
(0.36 0.46)
(83.0 101.0)
(27.0 32.0)
(31.5 34.5)
(11.6 14.0)
(150 410)
(9.0 13.0)
(4.0 10.0)
(40 80)
(2.0 7.0)
(20 40)
(1.0 3.0)
(2.0 10.0)
(0.2 1.0)
(1.0 6.0)
(0.02 0.50)
(< 2.1)
(0.02 0.10)

Troponin T (10 June 2015)

Troponin T
Troponin T (31 May 2015)
Troponin T
Interpretation:
Troponin T was not elevated.

0.011 g/L

(< 0.1)

0.014 g/L

(< 0.1)

Cardiac Enzymes (31 May 2015)

Creatine Kinase
43 U/L
(10-123)
Aspartate Transaminase
20 U/L
(5-31)
Lactate Dehydrogenase
329 U/L
(20-480)
Interpretation:
Cardiac Enzymes was taken to look any indication of myocardial infarction. However,
result were normal.
Renal Profile (Plasma) (31 May 2015)
Urea
Sodium
Potassium
Chloride
Creatinine

4.6 mmol/L
140 mmol/L
3.8 mmol/L
96 mmol/L
68 umol/L

( 3.5- 7.2)
(136-145)
( 3.4- 5.1)
(98-107)
(15-80)

Renal Profile (Plasma) (31 May 2015)

Urea
4.6 mmol/L
( 3.5- 7.2)
Sodium
137 mmol/L
(136-145)
Potassium
3.8 mmol/L
( 3.4- 5.1)
Chloride
94 mmol/L
(98-107)
Creatinine
67 umol/L
(15-80)
Interpretation:
Chloride was done to look for sign of dehydration and it was found to be below normal
after 2 times of Renal Profile Test. There are several factor that could cause
hypochloremia.
First is the drug. Drugs that may cause decreased levels include aldosterone,
bicarbonates, corticosteroids, cortisone, hydrocortisone, loop diuretics, thiazide diuretics,
and triamterene.
Other causes are listed below:
7. Salt-losing nephritis
1. Overhydration
8. Addison disease
2. Congestive heart failure
9. Burns
3. Syndrome of inappropriate
10. Metabolic alkalosis
antidiuretic hormone
11. Diuretic therapy
4. Vomiting
12. Hypokalemia
5. Chronic gastric suction
13. Aldosteronism
6. Chronic respiratory
14. Respiratory acidosis
acidosis
Magnesium (Plasma) (31 May 2015)
Magnesium
Interpretation:

0.7 mmol/L

(0.7-1.1)

Plasma Magnesium level was normal.

Phosphate (Plasma) (31 May 2015)
Phosphate
Interpretation:
Plasma Phosphate level was normal.

1.04 mmol/L

(0.81-1.45)

Liver Function Test (31 May 2015)

Total Protein
76 g/L
(60-83)
Albumin
33 g/L
(40-49)
Total Bilirubin
8 umol/L
(< 17)
Alanine Transaminase (SGPT)
8 U/L
(5-33)
Alkaline Phosphatase
88 U/L
(5-141)
Interpretation:
Liver function test revealed that patients albumin was low. Low albumin level can be
caused by acute reaction such as acute infections, tissue necrosis, burns, surgery, stress,
and myocardial infarction, chronic inflammation such as chronic infection,
granulomatous diseases, cirrhosis, rheumatoid-collagen diseases, nephrotic syndrome and
far-advanced cirrhosis.
Calcium (Plasma) (31 May 2015)
Calcium
Interpretation:
Plasma Calcium level was also normal.

2.31 mmol/L

(2.10-2.55)

ECG (10 June 2015)

Interpretation:
The ECG look normal. Some there are some left axis deviation.